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Active NPI 1609089085 Individual Practitioner Female Practitioner

Dr. Kristin H Kenner , DDS

Dentist - General Practice • Devils Lake, ND

Professional Overview & Biography Verified Profile Summary

Dr. Kristin Kenner, DDS is a registered healthcare professional specializing in Dentist - General Practice in Devils Lake, ND. Practice services are available at 501 5TH AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

501 5th Ave Se

Devils Lake, ND 583013621

Telephone 7016624141
Fax 7016627582
Associated Practice Facility / Clinic
🏢 Kenner Family Dentistry Facility NPI 1568146892

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Devils Lake, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Devils Lake, ND (294 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 ND 1736

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

Medicaid State Provider ID
40953 (ND)
Commercial Insurance / Payer ID State License Number
1736 (ND)
Commercial Insurance / Payer ID United Concordia Ins
842354 (ND)
Commercial Insurance / Payer ID Dental Service Corp Id
901736 (ND)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 501 5TH AVE SE, DEVILS LAKE, ND 583013621 (Tel: 7016624141)

📍
Updated Business Mailing Address July 08, 2007

Registered at 501 5TH AVE SE, DEVILS LAKE, ND 583013621 (Tel: 7016624141)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KRISTIN KENNER, D.D.S.

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

Dentist (License #1736 in ND)

🟢
Initial NPI Registration & Enumeration May 08, 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: 1609089085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

501 5th Ave Se

Devils Lake, ND 583013621

Phone: 7016624141

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.