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Deactivated NPI 1558793562 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth Foster Fleet , DDS

Dentist • Riverdale, GA

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

Registration / Start Date July 31, 2013
NPI Deactivation Date February 03, 2022
Total Practice Duration ~9 Years of Practice (2013 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Fleet, DDS was a registered Dentist practicing in Riverdale, GA. Throughout an active medical career spanning 9 years, Dr. Fleet provided care at the practice location at 6030 HIGHWAY 85 until profile deactivation on 2022-02-03.

Practice Location & Contact Primary Location

Practice Address

6030 Highway 85
Suite 240

Riverdale, GA 302741529

Telephone 7709965737
Associated Practice Facility / Clinic
🏢 Smiles Dental Lab, Inc. Facility NPI 1134251648

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Riverdale, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Riverdale, GA (2164 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA DN009925

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1801009170

Doctor of Chiropractic

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 03, 2022

Record deactivated on February 03, 2022

NPI Profile Active July 31, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 31, 2013

Registered at 6030 HIGHWAY 85, SUITE 240, RIVERDALE, GA 302741529 (Tel: 7709965737)

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Updated Business Mailing Address July 31, 2013

Registered at 6030 HIGHWAY 85, SUITE 240, RIVERDALE, GA 302741529 (Tel: 7709965737)

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Provider Name / Credentials Updated July 31, 2013

Recorded as KENNETH FLEET, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2013

Dentist (License #DN009925 in GA)

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Initial NPI Registration & Enumeration July 31, 2013

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: 1558793562
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2013
Last Update: July 31, 2013
Deactivation Date: February 03, 2022

Mailing Address

6030 Highway 85, Suite 240

Riverdale, GA 302741529

Phone: 7709965737

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.