Provider Demographics
NPI:1255670972
Name:LEDFORD AND KENNERLY PLLC
Entity Type:Organization
Organization Name:LEDFORD AND KENNERLY PLLC
Other - Org Name:ASHEVILLE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:C
Authorized Official - Last Name:KENNERLY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-277-9907
Mailing Address - Street 1:10 YORKSHIRE ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2752
Mailing Address - Country:US
Mailing Address - Phone:828-277-9907
Mailing Address - Fax:828-277-6445
Practice Address - Street 1:10 YORKSHIRE ST
Practice Address - Street 2:SUITE C
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2752
Practice Address - Country:US
Practice Address - Phone:828-277-9907
Practice Address - Fax:828-277-6445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4657122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty