Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1376507558 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth Scott , DDS

Dentist - General Practice • Phoenix, AZ

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Scott has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 14, 2006
NPI Deactivation Date September 02, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Scott, DDS was a registered Dentist - General Practice practicing in Phoenix, AZ. Throughout an active medical career spanning 14 years, Dr. Scott provided care at the practice location at 1819 W DUNLAP AVE STE 1 until profile deactivation on 2020-09-02.

Practice Location & Contact Primary Location

Practice Address

1819 W Dunlap Ave Ste 1

Phoenix, AZ 850214375

Telephone 6028613333
Fax 6028613336
Associated Practice Facility / Clinic
🏢 Sdcaz Llc Facility NPI 1659175347

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 D6031

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

10 Associated Practitioners
NPI 1043862709
NPI 1295466753
Dr. Yolanda Short , DMD

Dentist - General Practice

NPI 1396993911

Doctor of Dental Medicine

Dr. Marina Nguyen , DDS

Dentist - Pediatric Dentistry

NPI 1477632917

Doctor of Dental Surgery

Semida Repta

Dentist - General Practice

NPI 1548861248
Dr. Robert Balsmeier , DDS

Dentist - Pediatric Dentistry

NPI 1558672659

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated September 02, 2020

Record deactivated on September 02, 2020

NPI Profile Active July 29, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2011

Registered at 1819 W DUNLAP AVE STE 1, PHOENIX, AZ 850214375 (Tel: 6028613333)

📍
Updated Business Mailing Address July 29, 2011

Registered at 1819 W DUNLAP AVE STE 1, PHOENIX, AZ 850214375 (Tel: 6028613333)

👤
Provider Name / Credentials Updated July 29, 2011

Recorded as KENNETH SCOTT, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2011

Dentist (License #D6031 in AZ)

🟢
Initial NPI Registration & Enumeration April 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kenneth Scott. Be the first to share your experience!

Sign in to leave a review for Dr. Kenneth Scott

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1376507558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2006
Last Update: July 29, 2011
Deactivation Date: September 02, 2020

Mailing Address

1819 W Dunlap Ave Ste 1

Phoenix, AZ 850214375

Phone: 6028613333

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.