Provider Demographics
NPI:1912433988
Name:KENDERA, CODY STEPHEN ANDREW (DDS)
Entity type:Individual
Prefix:
First Name:CODY
Middle Name:STEPHEN ANDREW
Last Name:KENDERA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8489 COUNTRY CLUB DR STE 3
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-4345
Mailing Address - Country:US
Mailing Address - Phone:724-863-4350
Mailing Address - Fax:
Practice Address - Street 1:8489 COUNTRY CLUB DR STE 3
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-4345
Practice Address - Country:US
Practice Address - Phone:724-863-4350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND142311223G0001X
PADS0450861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice