Dr. Charles B Kendall , DDS
Dentist - General Practice • Fort Worth, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Kendall has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Charles Kendall, DDS was a registered Dentist - General Practice practicing in Fort Worth, TX. Throughout an active medical career spanning 16 years, Dr. Kendall provided care at the practice location at 4545 BELLAIRE DR S until profile deactivation on 2024-01-03.
Practice Location & Contact Primary Location
4545 Bellaire Dr S
Suite 5
Fort Worth, TX 761091889
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Fort Worth, TX
Practicing in Fort Worth, TX (10570 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Dentist - Endodontics
Doctor of Dental Surgery, PC
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Counselor - Professional
Licensed Professional Counselor
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 03, 2024
NPI status registered as active in NPPES database
Registered at 4545 BELLAIRE DR S, SUITE 5, FORT WORTH, TX 761091889 (Tel: 8177310206)
Registered at 4545 BELLAIRE DR S, SUITE 5, FORT WORTH, TX 761091889 (Tel: 8177310206)
Recorded as CHARLES KENDALL, D.D.S.
Dentist (License #9075 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4545 Bellaire Dr S, Suite 5
Fort Worth, TX 761091889
Phone: 8177310206
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