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Deactivated NPI 1477679470 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth Grundset , DDS

Dentist - General Practice • Largo, FL

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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 Grundset has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 21, 2007
NPI Deactivation Date January 31, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Grundset, DDS was a registered Dentist - General Practice practicing in Largo, FL. Throughout an active medical career spanning 18 years, Dr. Grundset provided care at the practice location at 9634 107TH AVE N until profile deactivation on 2025-01-31.

Practice Location & Contact Primary Location

Practice Address

9634 107th Ave N

Largo, FL 337734503

Telephone 7278516870
Associated Practice Facility / Clinic
🏢 Kenneth Grundset Pa Facility NPI 1699185298

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Largo, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
48 Specialists

Practicing in Largo, FL (7473 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 FL 4596

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.

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated January 31, 2025

Record deactivated on January 31, 2025

NPI Profile Active April 03, 2017

NPI status registered as active in NPPES database

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Updated Practice Location April 03, 2017

Registered at 9634 107TH AVE N, LARGO, FL 337734503 (Tel: 8138168006)

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Updated Business Mailing Address April 03, 2017

Registered at 9899 66TH ST N, PINELLAS PARK, FL 337823010 (Tel: 7278138168)

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Provider Name / Credentials Updated April 03, 2017

Recorded as KENNETH GRUNDSET, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2017

Dentist (License #4596 in FL)

NPI Profile Active May 20, 2015

NPI status registered as active in NPPES database

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Updated Practice Location May 20, 2015

Registered at 9634 107TH AVE N, LARGO, FL 337734503 (Tel: 7278516870)

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Updated Business Mailing Address May 20, 2015

Registered at 9899 66TH ST N, PINELLAS PARK, FL 337823010 (Tel: 7278516870)

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Provider Name / Credentials Updated May 20, 2015

Recorded as KENNETH GRUNDSET, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2015

Dentist (License #4596 in FL)

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Initial NPI Registration & Enumeration March 21, 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: 1477679470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2007
Last Update: May 20, 2015
Deactivation Date: January 31, 2025

Mailing Address

9899 66th St N

Pinellas Park, FL 337823010

Phone: 7278516870

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.