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Deactivated NPI 1134249378 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth E Bewley , DMD

Dentist - General Practice • Vine Grove, KY

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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

Registration / Start Date March 30, 2007
NPI Deactivation Date June 14, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Bewley, DMD was a registered Dentist - General Practice practicing in Vine Grove, KY. Throughout an active medical career spanning 14 years, Dr. Bewley provided care at the practice location at 423 CRUME RD until profile deactivation on 2021-06-14.

Practice Location & Contact Primary Location

Practice Address

423 Crume Rd

Vine Grove, KY 401751130

Telephone 2708775050
Fax 2708776595
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Vine Grove, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Vine Grove, KY (1699 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 KY 4737

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

1 Associated Practitioners
NPI 1891949590

Doctor of Dental Medicine

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 June 14, 2021

Record deactivated on June 14, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 423 CRUME RD, VINE GROVE, KY 401751130 (Tel: 2708775050)

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Updated Business Mailing Address July 08, 2007

Registered at 423 CRUME RD, P. O. BOX 519, VINE GROVE, KY 401751130 (Tel: 2708775050)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH BEWLEY, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #4737 in KY)

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Initial NPI Registration & Enumeration March 30, 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: 1134249378
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2007
Last Update: July 08, 2007
Deactivation Date: June 14, 2021

Mailing Address

423 Crume Rd, P. O. Box 519

Vine Grove, KY 401751130

Phone: 2708775050

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.