Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245386622 Individual Practitioner Male Practitioner

Dr. Kenneth Elrod , DDS

Dentist - General Practice • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Elrod, DDS is a registered healthcare professional specializing in Dentist - General Practice in Orange Park, FL. Practice services are available at 1605 110 COUNTY ROAD 220 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1605 110 County Road 220

Orange Park, FL 320034909

Telephone 9042153533
Fax 9042648783
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Orange Park, FL

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

Practicing in Orange Park, 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 DN15645

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
NPI 1083977938

Doctor of Dental Medicine

Dr. Dennis Weber , DMD, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1801806518

Doctor of Dental Medicine, Master of Science

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 04, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2010

Registered at 1605 110 COUNTY ROAD 220, ORANGE PARK, FL 320034909 (Tel: 9042153533)

📍
Updated Business Mailing Address November 04, 2010

Registered at 9000 GOLFSIDE DRIVE, SUITE B, JACKSONVILLE, FL 322567793 (Tel: 9043671722)

👤
Provider Name / Credentials Updated November 04, 2010

Recorded as KENNETH ELROD, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2010

Dentist (License #DN15645 in FL)

🟢
Initial NPI Registration & Enumeration January 26, 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: 1245386622
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2007
Last Update: November 04, 2010
Sole Proprietor: No

Mailing Address

9000 Golfside Drive, Suite B

Jacksonville, FL 322567793

Phone: 9043671722

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.