Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538802673 Individual Practitioner Male Practitioner

Dr. Kenneth Andujar , DDS

Dentist - General Practice • Wauchula, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Andujar, DDS is a registered healthcare professional specializing in Dentist - General Practice in Wauchula, FL. Practice services are available at 807 COBB CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

807 Cobb Ct

Wauchula, FL 338733161

Telephone 8662348534
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wauchula, FL

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

Practicing in Wauchula, 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

CMS Verified: 2023-06-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN27575

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

237 3rd Ave Apt 6

New York, NY 100032534

Phone: 4072230874

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Roseline Blanc , APRN-C

Nurse Practitioner - Family

NPI 1013431873

APRNC

Dr. Ria Sajnani , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1013536606

Doctor of Podiatric Medicine

Dr. Syed Qadri , MD

Obstetrics & Gynecology

NPI 1053493171

Doctor of Medicine (M.D.)

NPI 1063443612

Doctor of Medicine (M.D.)

NPI 1083097406

Doctor of Medicine (M.D.)

Ingrid Atiles

Psychologist - Clinical

NPI 1093096596

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2023

Dentist (License #DN27575 in FL)

📍
Updated Practice Location April 13, 2023

Registered at 807 COBB CT, WAUCHULA, FL 338733161 (Tel: 8662348534)

📍
Updated Business Mailing Address April 13, 2023

Registered at 47 5TH ST NW, WINTER HAVEN, FL 338814672 (Tel: 8662348534)

NPI Profile Active April 17, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2022

Registered at 5500 BROADWAY, BRONX, NY 104635238 (Tel: 3475774950)

📍
Updated Business Mailing Address April 17, 2022

Registered at 237 3RD AVE APT 6, NEW YORK, NY 100032534 (Tel: 4072230874)

👤
Provider Name / Credentials Updated April 17, 2022

Recorded as KENNETH ANDUJAR, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 17, 2022

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: 1538802673
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2022
Last Update: June 21, 2023
Sole Proprietor: No

Mailing Address

47 5th St Nw

Winter Haven, FL 338814672

Phone: 8662348534

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.