Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255334140 Individual Practitioner Male Practitioner

Dr. Kenneth Anthony Bolin , DDS

Dentist • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Bolin, DDS is a registered healthcare professional specializing in Dentist in Dallas, TX. Practice services are available at 14335 REGENCY PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14335 Regency Pl

Dallas, TX 752548509

Telephone 9727169787
Fax 9727169787

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
470 Specialists

Practicing in Dallas, TX (6851 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 12794

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1267114-02 (TX)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 12, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2014

Registered at 14335 REGENCY PL, DALLAS, TX 752548509 (Tel: 9727169787)

📍
Updated Business Mailing Address August 12, 2014

Registered at 14335 REGENCY PL, DALLAS, TX 752548509 (Tel: 9727169787)

👤
Provider Name / Credentials Updated August 12, 2014

Recorded as KENNETH BOLIN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2014

Dentist (License #12794 in TX)

🟢
Initial NPI Registration & Enumeration May 24, 2005

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: 1255334140
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2005
Last Update: August 12, 2014
Sole Proprietor: Yes

Mailing Address

14335 Regency Pl

Dallas, TX 752548509

Phone: 9727169787

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.