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Active NPI 1275190720 Individual Practitioner Male Practitioner

Kinnison Edmunds

Dentist - General Practice • Pickerington, OH

Professional Overview & Biography Verified Profile Summary

Kinnison Edmunds is a registered healthcare professional specializing in Dentist - General Practice in Pickerington, OH. Practice services are available at 11295 STONECREEK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11295 Stonecreek Dr

Pickerington, OH 431479138

Telephone 6148643196
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pickerington, OH

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

Practicing in Pickerington, 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 30.025765

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 State License
30.025765 (OH)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. John Sanders , DDS

Dentist - General Practice

NPI 1033313077

Doctor of Dental Surgery

Dr. Erin Biehle , DDS

Dentist - General Practice

NPI 1093919979

Doctor of Dental Surgery

NPI 1124281803

Doctor of Dental Surgery

NPI 1497910327

Doctor of Dental Surgery

Dr. Dahye Palmer , DMD, MSD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1679045579

Doctor of Dental Medicine, MSD

Dr. Stella Petroff , DMD

Dentist - General Practice

NPI 1932727146

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 21, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2019

Registered at 11295 STONECREEK DR, PICKERINGTON, OH 431479138 (Tel: 6148643196)

📍
Updated Business Mailing Address May 21, 2019

Registered at 11 S MILL ST STE 200, NEW CASTLE, PA 161013680

👤
Provider Name / Credentials Updated May 21, 2019

Recorded as KINNISON EDMUNDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2019

Dentist (License #30.025765 in OH)

🟢
Initial NPI Registration & Enumeration May 21, 2019

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: 1275190720
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2019
Last Update: June 11, 2019
Sole Proprietor: No

Mailing Address

11 S Mill St Ste 200

New Castle, PA 161013680

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.