Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Clark Priddy, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1598127672

Dr. Kenneth Clark Priddy, DDS is an Oral and Maxillofacial Surgery (Dentist) in Wentzville, Missouri. Works from 2 locations. Licensed in Kentucky and Missouri.

Licensed in
KY, MO
In the registry since
2016
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

853 Medical Dr Ste 115
Wentzville, MO 63385-3825
Phone: (636) 887-3100
Fax: (636) 887-3102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Mid Rivers Mall Dr Ste 310, Saint Peters, MO 63376-4323 — (636) 928-7217

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 2021048521 (MO)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 9781 (KY)

Record details

NPI number1598127672
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 28, 2016
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing address1 Mid Rivers Mall Dr Ste 310, Saint Peters, MO 63376-4323

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