Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366851610 Individual Practitioner Male Practitioner

Dr. Michael A Kendall , DMD

Dentist - General Practice • East Moline, IL

Professional Overview & Biography Verified Profile Summary

Dr. Michael Kendall, DMD is a registered healthcare professional specializing in Dentist - General Practice in East Moline, IL. Practice services are available at 401 AVENUE OF THE CITIES under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 Avenue Of The Cities

East Moline, IL 612444024

Telephone 3097551700
Fax 3097551788
Associated Practice Facility / Clinic
🏢 East Moline Dental Center Pc Facility NPI 1265954598

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in East Moline, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
8 Specialists

Practicing in East Moline, IL (5581 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 IL 019.029862

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IA 09134

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
019.029862 (IL)
Commercial Insurance / Payer ID State Lic
09134 (IA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. John Naert , DMD

Dentist - General Practice

NPI 1497766893

Doctor of Dental Medicine

Career & Practice History Timeline

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

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Dentist (License #09134 in IA)

NPI Profile Active July 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2017

Registered at 401 AVENUE OF THE CITIES, EAST MOLINE, IL 612444024 (Tel: 3097551700)

📍
Updated Business Mailing Address July 14, 2017

Registered at 401 AVENUE OF THE CITIES, EAST MOLINE, IL 612444024 (Tel: (309) 755-1700)

👤
Provider Name / Credentials Updated July 14, 2017

Recorded as MICHAEL KENDALL, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2017

Dentist (License #09134 in IA)

📍
Updated Practice Location July 07, 2017

Registered at 401 AVENUE OF THE CITIES, EAST MOLINE, IL 612444024 (Tel: 3097551700)

📍
Updated Business Mailing Address July 07, 2017

Registered at 401 AVENUE OF THE CITIES, EAST MOLINE, IL 612444024 (Tel: (309) 755-1700)

NPI Profile Active March 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2015

Registered at 1706 W AGENCY RD, WEST BURLINGTON, IA 526551667 (Tel: 3197685858)

📍
Updated Business Mailing Address March 03, 2015

Registered at 1706 W AGENCY RD, WEST BURLINGTON, IA 526551667 (Tel: 3197685858)

👤
Provider Name / Credentials Updated March 03, 2015

Recorded as MICHAEL KENDALL, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2015

Dentist (License #09134 in IA)

🟢
Initial NPI Registration & Enumeration August 11, 2014

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: 1366851610
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2014
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

401 Avenue Of The Cities

East Moline, IL 612444024

Phone: 3097551700

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.