Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780123356 Individual Practitioner Male Practitioner

Dr. Scott Kennedy , DMD

Dentist - General Practice • Clifton, TX

Professional Overview & Biography Verified Profile Summary

Dr. Scott Kennedy, DMD is a registered healthcare professional specializing in Dentist - General Practice in Clifton, TX. Practice services are available at 302 S AVENUE Q under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

302 S Avenue Q

Clifton, TX 766341825

Telephone 2546753518
Associated Practice Facility / Clinic
🏢 Ko Dental Group, Pc Facility NPI 1053911396

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Clifton, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Clifton, TX (10570 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

CMS Verified: 2022-08-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 33258

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

609 Elm Avenue

Waco, TX 76704

Phone: 2547540001

310 E Main St

Hamilton, TX 765311922

Phone: 2543868957

121 N Rice St

Hamilton, TX 765311857

Phone: 2543868957

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1043214059

Doctor of Dental Surgery

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location August 08, 2022

Registered at 302 S AVENUE Q, CLIFTON, TX 766341825 (Tel: 2546753518)

📍
Updated Business Mailing Address August 08, 2022

Registered at 302 S AVENUE Q, CLIFTON, TX 766341825

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2022

Student in an Organized Health Care Education/Training Program

NPI Profile Active November 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2017

Registered at 609 ELM AVENUE, WACO, TX 76704 (Tel: 2547540001)

📍
Updated Business Mailing Address November 15, 2017

Registered at 609 ELM AVENUE, WACO, TX 76704

👤
Provider Name / Credentials Updated November 15, 2017

Recorded as SCOTT KENNEDY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2017

Dentist (License #33258 in TX)

NPI Profile Active February 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2017

Registered at 609 ELM AVENUE, WACO, TX 76704 (Tel: 2547540001)

📍
Updated Business Mailing Address February 15, 2017

Registered at 609 ELM AVENUE, WACO, TX 76704

👤
Provider Name / Credentials Updated February 15, 2017

Recorded as SCOTT KENNEDY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 15, 2017

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: 1780123356
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2017
Last Update: August 08, 2022
Sole Proprietor: Yes

Mailing Address

302 S Avenue Q

Clifton, TX 766341825

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.