Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558589556 Individual Practitioner Male Practitioner

Dr. Kenneth D Oldham , DMD

Dentist - General Practice • Anchorage, AK

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Oldham, DMD is a registered healthcare professional specializing in Dentist - General Practice in Anchorage, AK. Practice services are available at 3650 LAKE OTIS PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3650 Lake Otis Pkwy
Suite 102

Anchorage, AK 995085207

Telephone 9075635820
Fax 9075627029
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Anchorage, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
145 Specialists

Practicing in Anchorage, AK (346 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AK AA707

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
DD7070 (AK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Erin Newton , PT

Physical Therapist

NPI 1245275791

Physical Therapist

Joanna Austin

Physical Therapist

NPI 1255629614
Dr. Marius Maxwell , MD

Neurological Surgery

NPI 1285693077

Doctor of Medicine (M.D.)

Jeffery Evans , PT

Physical Therapist

NPI 1356392393

Physical Therapist

Paula Korn , ANP

Advanced Practice Midwife

NPI 1356553655

Adult Nurse Practitioner

Dr. James Clark , DMD, MS

Dentist - Oral and Maxillofacial Surgery

NPI 1376557736

Doctor of Dental Medicine, Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3650 LAKE OTIS PKWY, SUITE 102, ANCHORAGE, AK 995085207 (Tel: 9075635820)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3650 LAKE OTIS PKWY, SUITE 102, ANCHORAGE, AK 995085207 (Tel: 9075635820)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH OLDHAM, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #AA707 in AK)

🟢
Initial NPI Registration & Enumeration April 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558589556
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

3650 Lake Otis Pkwy, Suite 102

Anchorage, AK 995085207

Phone: 9075635820

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.