Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013936962 Individual Practitioner Female Practitioner

Dr. Jennifer A Kennedy , DDS

Dentist • Mattoon, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Kennedy, DDS is a registered healthcare professional specializing in Dentist in Mattoon, IL. Practice services are available at 601 BROADWAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

601 Broadway Ave

Mattoon, IL 619384340

Telephone 2172350556
Associated Practice Facility / Clinic
🏢 Philip B. Kepp, Dds,pc Facility NPI 1275569923

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mattoon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Mattoon, IL (4751 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Philip Kepp , DDS

Dentist - General Practice

NPI 1063446128

Doctor of Dental Surgery

NPI 1548249089

Doctor of Dental Surgery

NPI 1659801629

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 601 BROADWAY AVE, MATTOON, IL 619384340 (Tel: 2172350556)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2544 NORTH COUNTY ROAD 1800 EAST, CHARLESTON, IL 61920 (Tel: 2173453937)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JENNIFER KENNEDY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

🟢
Initial NPI Registration & Enumeration July 19, 2006

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: 1013936962
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2544 North County Road 1800 East

Charleston, IL 61920

Phone: 2173453937

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.