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Active NPI 1295890366 Individual Practitioner Male Practitioner

Dr. Kenneth Glenn Rawson , DMD

Dentist - Pediatric Dentistry • Alton, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Rawson, DMD is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Alton, IL. Practice services are available at 2800 COLLEGE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2800 College Ave

Alton, IL 620024742

Telephone 6184747291
Fax 6184747089
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Alton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Alton, IL (263 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: 2024-01-11
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License IL 019026796

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013585421
NPI 1023226263

Doctor of Dental Medicine

Dr. Lucas Winebaugh , DMD

Dentist - General Practice

NPI 1023677218

Doctor of Dental Medicine

NPI 1033354956

Doctor of Dental Medicine

Dr. Patrick Malone , DMD

Dentist - General Practice

NPI 1033897350

Doctor of Dental Medicine

NPI 1063081867

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2024

Dentist (License #019026796 in IL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2024

Dentist (License #021002440 in IL)

NPI Profile Active August 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2007

Registered at 2800 COLLEGE AVE, ALTON, IL 620024742 (Tel: 6184747291)

📍
Updated Business Mailing Address August 09, 2007

Registered at 2800 COLLEGE AVE, ALTON, IL 620024742 (Tel: 6184747291)

👤
Provider Name / Credentials Updated August 09, 2007

Recorded as KENNETH RAWSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2007

Dentist (License #LL-072-05 in NV)

🟢
Initial NPI Registration & Enumeration December 27, 2006

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: 1295890366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2006
Last Update: January 11, 2024
Sole Proprietor: No

Mailing Address

2800 College Ave

Alton, IL 620024742

Phone: 6184747120

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.