Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457937229 Individual Practitioner Male Practitioner

Dr. Kemal Feroze Baksh , DDS

Dentist - General Practice • Randolph Afb, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kemal Baksh, DDS is a registered healthcare professional specializing in Dentist - General Practice in Randolph Afb, TX. Practice services are available at 559TH MEDICAL SQUADRON under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

559th Medical Squadron
221 3rd St W

Randolph Afb, TX 78150

Telephone 2106521846

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Randolph Afb, TX

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

Practicing in Randolph Afb, 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: 2023-07-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401417547

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

11 Associated Practitioners
Dr. Jennifer Kim , DDS

Dentist - General Practice

NPI 1013402692

Doctor of Dental Surgery

Dr. John Mcdonald , DDS

Dentist - General Practice

NPI 1023004405

Doctor of Dental Surgery

NPI 1114447869

Doctor of Dental Medicine

Dr. Phillip Sandefur , DDS

Dentist - General Practice

NPI 1306993043

Doctor of Dental Surgery

Eun Jung Berry , RDH

Dental Hygienist

NPI 1407950587

Registered Dental Hygienist

Dr. Federico Aquino , DDS

Dentist - General Practice

NPI 1417926452

Doctor of Dental Surgery

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location August 01, 2023

Registered at 559TH MEDICAL SQUADRON, 221 3RD ST W, RANDOLPH AFB, TX 78150 (Tel: 2106521846)

📍
Updated Business Mailing Address August 01, 2023

Registered at 559TH MEDICAL SQUADRON, 221 3RD STREET W, RANDOLPH AFB, TX 78150 (Tel: 2106521846)

📍
Updated Practice Location September 12, 2022

Registered at 300 TWINING ST BLDG 760, MAXWELL AFB, AL 361126027 (Tel: 2404444304)

📍
Updated Business Mailing Address September 12, 2022

Registered at 42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760, MAXWELL AFB, AL 361126027 (Tel: 3349539127)

👤
Provider Name / Credentials Updated September 12, 2022

Recorded as KEMAL BAKSH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2022

Dentist (License #0401417547 in VA)

NPI Profile Active March 22, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2021

Registered at 6420 DAWNFIELD LN, HENRICO, VA 232315334 (Tel: 5406043377)

📍
Updated Business Mailing Address March 22, 2021

Registered at 6420 DAWNFIELD LN, HENRICO, VA 232315334 (Tel: 5406043377)

👤
Provider Name / Credentials Updated March 22, 2021

Recorded as KEMAL BAKSH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 22, 2021

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: 1457937229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2021
Last Update: August 01, 2023
Sole Proprietor: No

Mailing Address

559th Medical Squadron, 221 3rd Street W

Randolph Afb, TX 78150

Phone: 2106521846

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.