Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457631608 Individual Practitioner Male Practitioner

Dr. Kenneth Mcgowan , DMD

Dentist - General Practice • Medford, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Mcgowan, DMD is a registered healthcare professional specializing in Dentist - General Practice in Medford, OR. Practice services are available at 1123 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1123 E Main St

Medford, OR 975047434

Telephone 5417733422
Fax 5417792250
Associated Practice Facility / Clinic
🏢 East Main Dental Center, Llp Facility NPI 1700819596

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Medford, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
47 Specialists

Practicing in Medford, 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 D9844

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
5006546600 (OR)

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1437283603

Doctor of Dental Medicine

NPI 1497889679

Doctor of Dental Medicine

NPI 1598899783

Doctor of Dental Medicine

NPI 1912031196

Doctor of Dental Medicine

Dr. Tristen Holmes , DMD

Dentist - General Practice

NPI 1932887049

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 September 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2016

Registered at 1123 E MAIN ST, MEDFORD, OR 975047434 (Tel: 5417733422)

📍
Updated Business Mailing Address September 26, 2016

Registered at 1123 E MAIN ST, MEDFORD, OR 975047434 (Tel: 5417733422)

👤
Provider Name / Credentials Updated September 26, 2016

Recorded as KENNETH MCGOWAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2016

Dentist (License #D9844 in OR)

🟢
Initial NPI Registration & Enumeration August 19, 2011

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: 1457631608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2011
Last Update: September 26, 2016
Sole Proprietor: No

Mailing Address

1123 E Main St

Medford, OR 975047434

Phone: 5417733422

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.