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Active NPI 1255688933 Individual Practitioner Female Practitioner

Dr. Kelli K Kanemaru-Takeuchi , DDS

Dentist - General Practice • Macclenny, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kelli Kanemaru-Takeuchi, DDS is a registered healthcare professional specializing in Dentist - General Practice in Macclenny, FL. Practice services are available at 480 W LOWDER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

480 W Lowder St

Macclenny, FL 320632664

Telephone 9042596291
Fax 9042591950
Associated Practice Facility / Clinic
🏢 Florida Department Of Health Facility NPI 1548236623

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Macclenny, FL

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

Practicing in Macclenny, 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 HAD49

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

14 Associated Practitioners
NPI 1013161033

MAG, Registered Dietitian, Licensed Dietitian, N, Certified Diabetes Educator

Dr. Mary Robinson , MD

Family Medicine

NPI 1104961689

Doctor of Medicine (M.D.)

NPI 1164488540

Doctor of Medicine (M.D.)

NPI 1215078506

Doctor of Dental Surgery

Rachel Thomas , ARNP

Nurse Practitioner - Family

NPI 1245477181

Advanced Registered Nurse Practitioner

Alanna Eubanks , RD, LD, N

Dietitian, Registered

NPI 1336469832

Registered Dietitian, Licensed Dietitian, N

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2012

Registered at 480 W LOWDER ST, MACCLENNY, FL 320632664 (Tel: 9042596291)

📍
Updated Business Mailing Address August 13, 2012

Registered at 480 W LOWDER ST, MACCLENNY, FL 320632664 (Tel: 9042596291)

👤
Provider Name / Credentials Updated August 13, 2012

Recorded as KELLI KANEMARU-TAKEUCHI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2012

Dentist (License #HAD49 in FL)

🟢
Initial NPI Registration & Enumeration August 13, 2012

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: 1255688933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2012
Last Update: August 13, 2012
Sole Proprietor: No

Mailing Address

480 W Lowder St

Macclenny, FL 320632664

Phone: 9042596291

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.