Provider Demographics
NPI:1508929142
Name:KENNY, WILLIAM EDWARD JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:KENNY
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:1 AZALEA WAY
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1304
Mailing Address - Country:US
Mailing Address - Phone:609-585-6161
Mailing Address - Fax:609-588-8723
Practice Address - Street 1:1 AZALEA WAY
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1304
Practice Address - Country:US
Practice Address - Phone:609-585-6161
Practice Address - Fax:609-588-8723
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2021-05-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJDI109661223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery