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Active NPI 1134135825 Individual Practitioner Male Practitioner

Dr. Kenneth C Van Kirk , DDS

Dentist - General Practice • Bozeman, MT

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Van Kirk, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bozeman, MT. Practice services are available at 1125 W KAGY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1125 W Kagy Blvd
Suite 200

Bozeman, MT 597155881

Telephone 4065871688
Fax 4065825473
Associated Practice Facility / Clinic
🏢 Nybo And Van Kirk Dental, Llc Facility NPI 1386882876

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bozeman, MT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
42 Specialists

Practicing in Bozeman, MT (489 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 MT 2265

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 Tri-Care
134932 (ID)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Norman Nybo , DDS

Dentist - General Practice

NPI 1043245475

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active March 30, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2009

Registered at 1125 W KAGY BLVD, SUITE 200, BOZEMAN, MT 597155881 (Tel: 4065871688)

📍
Updated Business Mailing Address March 30, 2009

Registered at 1125 W KAGY BLVD, SUITE 200, BOZEMAN, MT 597155881 (Tel: 4065871688)

👤
Provider Name / Credentials Updated March 30, 2009

Recorded as KENNETH VAN KIRK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2009

Dentist (License #2265 in MT)

🟢
Initial NPI Registration & Enumeration August 01, 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: 1134135825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: March 30, 2009
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1125 W Kagy Blvd, Suite 200

Bozeman, MT 597155881

Phone: 4065871688

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.