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

Kenneth Bloodworth

Individual provider Dentist · NPI 1154662690

Kenneth Bloodworth is a Dentist in Cedar Park, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2013
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Practice location Address checks out

2001 Windy Ter Ste F
Cedar Park, TX 78613-4289
Phone: (210) 393-1704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 11369 (TX)

Record details

NPI number1154662690
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 7, 2013
Last updated in NPPESMarch 7, 2013

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