Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538205828 Individual Practitioner Male Practitioner

Dr. Kenneth Antonelli , DDS

Dentist - General Practice • Parma, OH

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Antonelli, DDS is a registered healthcare professional specializing in Dentist - General Practice in Parma, OH. Practice services are available at 5788 RIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5788 Ridge Rd

Parma, OH 441293168

Telephone 4408864100
Fax 5124980288
Associated Practice Facility / Clinic
🏢 Core Cognitions, Llc Facility NPI 1316211303

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Parma, OH

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

Practicing in Parma, 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 17771

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

3 Associated Practitioners
NPI 1134466980

Master of Social Work, Licensed Social Worker, Licensed Master Social Worker

NPI 1366879850

Licensed Massage Therapist

NPI 1558609891

Licensed Massage Therapist, Licensed Practical Nurse

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 5788 RIDGE RD, PARMA, OH 441293168 (Tel: 4408864100)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5788 RIDGE RD, PARMA, OH 441293168 (Tel: 4408864100)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH ANTONELLI, DDS

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

Dentist (License #17771 in OH)

🟢
Initial NPI Registration & Enumeration January 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: 1538205828
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

5788 Ridge Rd

Parma, OH 441293168

Phone: 4408864100

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.