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

Dr. Kenneth DO, DDS

Individual provider General Practice Dentistry · NPI 1467201400

Dr. Kenneth DO, DDS is a General Practice Dentistry in Ridgefield, Washington. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024
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.

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Practice location Address checks out

109 S 65th Ave Ste 104
Ridgefield, WA 98642-3708
Phone: (360) 887-2333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DENT.DE.61563404 (WA)

Record details

NPI number1467201400
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 14, 2024
Last updated in NPPESMay 14, 2024
Certification dateMay 5, 2024
Mailing address8423 Brighton Lake Ln, Houston, TX 77095-4761

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