Kenneth DO, DDS

General Practice Dentistry · Ridgefield, WA

Individual Active NPI

NPI number 1467201400

Practice location

109 S 65TH Ave Ste 104
Ridgefield, WA 98642-3708
Phone
(360) 887-2333

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NPI record

NPI
1467201400
Entity type
Individual (Type 1)
Enumeration date
May 14, 2024
Last updated
May 14, 2024
Certified
May 5, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DENT.DE.61563404 WA

Mailing address

8423 Brighton Lake Ln
Houston, TX 77095-4761

About Dr. DO

Kenneth DO, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 109 S 65TH Ave Ste 104, Ridgefield, WA 98642-3708. The NPI number 1467201400 was assigned on May 14, 2024 and the record was last updated on May 14, 2024.

Dr. DO lists a license in the registry: #DENT.DE.61563404 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth DO, DDS?

The NPI number is 1467201400.

What is the phone number of Dr. DO?

The phone number listed for the practice location is (360) 887-2333.

Where is Dr. DO located?

109 S 65TH Ave Ste 104, Ridgefield, WA 98642-3708.

What is the taxonomy code for Dr. DO?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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