Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215223573 Individual Practitioner Male Practitioner

Dr. Kenneth E Wilstead , DMD

Dentist - General Practice • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Wilstead, DMD is a registered healthcare professional specializing in Dentist - General Practice in Phoenix, AZ. Practice services are available at 6831 S CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6831 S Central Ave

Phoenix, AZ 850425420

Telephone 6022688881
Associated Practice Facility / Clinic
🏢 South Central Dental Llc Facility NPI 1952636573

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
483 Specialists

Practicing in Phoenix, AZ (2600 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 AZ D008102

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Richard Hogge , DMD

Dentist - General Practice

NPI 1457308389

Doctor of Dental Medicine

NPI 1760713994

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 24, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2011

Registered at 6831 S CENTRAL AVE, PHOENIX, AZ 850425420 (Tel: 6022688881)

📍
Updated Business Mailing Address June 24, 2011

Registered at 6831 S CENTRAL AVE, PHOENIX, AZ 850425420 (Tel: 6022688881)

👤
Provider Name / Credentials Updated June 24, 2011

Recorded as KENNETH WILSTEAD, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2011

Dentist (License #D008102 in AZ)

🟢
Initial NPI Registration & Enumeration June 24, 2011

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: 1215223573
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2011
Last Update: June 24, 2011
Sole Proprietor: No

Mailing Address

6831 S Central Ave

Phoenix, AZ 850425420

Phone: 6022688881

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.