Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962385237 Individual Practitioner Female Practitioner

Kennedy Powell

Dentist - General Practice • Conyers, GA

Professional Overview & Biography Verified Profile Summary

Kennedy Powell is a registered healthcare professional specializing in Dentist - General Practice in Conyers, GA. Practice services are available at 2239 HIGHWAY 20 SE STE H under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2239 Highway 20 Se Ste H

Conyers, GA 300132087

Telephone 7709213565
Associated Practice Facility / Clinic
🏢 Conyers Smiles Dentistry, Pc Facility NPI 1255734174

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Conyers, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
32 Specialists

Practicing in Conyers, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN123884

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Melanie Evans

Dentist - General Practice

NPI 1164086864
NPI 1184299984

Doctor of Dental Surgery

NPI 1225799281

Doctor of Dental Surgery

Dr. Cornelius Daniel , DMD

Dentist - General Practice

NPI 1396397386

Doctor of Dental Medicine

Keyanna Ennis

Dentist - General Practice

NPI 1447195540
Dr. Paris Little , DDS

Dentist - General Practice

NPI 1487491791

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 25, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2025

Registered at 2239 HIGHWAY 20 SE STE H, CONYERS, GA 300132087 (Tel: 7709213565)

📍
Updated Business Mailing Address July 25, 2025

Registered at 3509 CLEAR VIEW TRL, STOCKBRIDGE, GA 302815670

👤
Provider Name / Credentials Updated July 25, 2025

Recorded as KENNEDY POWELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2025

Dentist (License #DN123884 in GA)

🟢
Initial NPI Registration & Enumeration July 25, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962385237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2025
Last Update: July 25, 2025
Sole Proprietor: No

Mailing Address

3509 Clear View Trl

Stockbridge, GA 302815670

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.