Dr. Kevin Chambliss Kennedy Jr.
DDS | Pediatric Dentist
590 Fire Station Rd Ste C, Clarksville
Tennessee, 37043-4016
931-648-9930 Maps & DirectionsDr. Kevin Chambliss Kennedy Jr. is a Clarksville, Tennessee based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kevin Chambliss Kennedy Jr. is
9411 for Pediatric Dentistry in Tennessee. His current practice location is
590 Fire Station Rd Ste C, Clarksville. Patients can reach him at
931-648-9930.
Dr. Kevin Chambliss Kennedy Jr. provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Kevin Chambliss Kennedy Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Kevin Chambliss Kennedy Jr. |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 590 Fire Station Rd Ste C, Clarksville,
Tennessee, 37043-4016 |
| Phone: | 931-648-9930 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1629399647 |
| NPI Enumeration Date: | 14 Jun, 2010 |
| NPI Last Update On: | 22 Jan, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kevin Chambliss Kennedy Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 9411 | Pediatric Dentistry | Tennessee | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kevin Chambliss Kennedy Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1527793 | Medicaid | Tennessee | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2858 Summer Lawn Dr,
Clarksville, Tennessee |
| Zip: | 37043-4030 |
| Phone Number: | 931-648-9930 |
Patients can reach Dr. Kevin Chambliss Kennedy Jr. at
590 Fire Station Rd Ste C, Clarksville, Tennessee or can
call to book an appointment on 931-648-9930.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.