Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982772026 Individual Practitioner Female Practitioner

Dr. Cristina Pellicano Kennedy , DMD

Dentist - General Practice • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Dr. Cristina Kennedy, DMD is a registered healthcare professional specializing in Dentist - General Practice in Gresham, OR. Practice services are available at 501 NE HOOD AVE STE 235 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

501 Ne Hood Ave Ste 235

Gresham, OR 970307346

Telephone 5036614900
Fax 5036673856
Associated Practice Facility / Clinic
🏢 Deca Dentistry Facility NPI 1124548235

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
43 Specialists

Practicing in Gresham, OR (1994 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 OR D6867

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

1 Associated Practitioners
NPI 1417186990

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 July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 501 NE HOOD AVE STE 235, GRESHAM, OR 970307346 (Tel: 5036614900)

📍
Updated Business Mailing Address July 08, 2007

Registered at 501 NE HOOD AVE STE 235, GRESHAM, OR 970307346 (Tel: 5036614900)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CRISTINA KENNEDY, D.M.D.

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

Dentist (License #D6867 in OR)

🟢
Initial NPI Registration & Enumeration November 30, 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: 1982772026
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

501 Ne Hood Ave Ste 235

Gresham, OR 970307346

Phone: 5036614900

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.