Dr. Sam D Kennedy , DDS
Dentist • Eureka, CA
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. Sam Kennedy has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Sam Kennedy, DDS was a registered Dentist practicing in Eureka, CA. Throughout an active medical career spanning 11 years, Dr. Kennedy provided care at the practice location at 2905 HUBBARD LN until profile deactivation on 2017-09-08.
Practice Location & Contact Primary Location
2905 Hubbard Ln
Suite A
Eureka, CA 955014846
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Eureka, CA
Practicing in Eureka, CA (15331 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 122300000X
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 08, 2017
NPI status registered as active in NPPES database
Registered at 2905 HUBBARD LN, SUITE A, EUREKA, CA 955014846 (Tel: 7074423644)
Registered at 2905 HUBBARD LN, SUITE A, EUREKA, CA 955014846 (Tel: 7074423644)
Recorded as SAM KENNEDY, D.D.S.
Dentist (License #27311 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2905 Hubbard Ln, Suite A
Eureka, CA 955014846
Phone: 7074423644
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