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Deactivated NPI 1205971777 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth H. Manifold , DDS

Dentist - General Practice • Dayton, OH

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

Registration / Start Date February 21, 2007
NPI Deactivation Date April 03, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Manifold, DDS was a registered Dentist - General Practice practicing in Dayton, OH. Throughout an active medical career spanning 17 years, Dr. Manifold provided care at the practice location at 1654 S SMITHVILLE RD until profile deactivation on 2024-04-03.

Practice Location & Contact Primary Location

Practice Address

1654 S Smithville Rd

Dayton, OH 454103247

Telephone 9372528551
Fax 9372524311
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
102 Specialists

Practicing in Dayton, OH (4287 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 OH 30.012268

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

2 Associated Practitioners
Dr. Stephen Joseph , DDS

Dentist - General Practice

NPI 1023003050

Doctor of Dental Surgery

NPI 1225417298

Doctor of Dental Surgery

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 April 03, 2024

Record deactivated on April 03, 2024

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 1654 S SMITHVILLE RD, DAYTON, OH 454103247 (Tel: 9372528551)

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Updated Business Mailing Address July 08, 2007

Registered at 1654 S SMITHVILLE RD, DAYTON, OH 454103247 (Tel: 9372528551)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH MANIFOLD, D.D.S.

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

Dentist (License #30.012268 in OH)

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Initial NPI Registration & Enumeration February 21, 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: 1205971777
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2007
Last Update: July 08, 2007
Deactivation Date: April 03, 2024

Mailing Address

1654 S Smithville Rd

Dayton, OH 454103247

Phone: 9372528551

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.