Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639263643 Individual Practitioner Male Practitioner

Dr. Michael Peter Kennedy , DDS

Dentist - General Practice • Richmond, VA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Kennedy, DDS is a registered healthcare professional specializing in Dentist - General Practice in Richmond, VA. Practice services are available at 520 N 12TH ST FL 4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

520 N 12th St Fl 4

Richmond, VA 232985064

Telephone 5307012102

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Richmond, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
259 Specialists

Practicing in Richmond, VA (3535 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: 2025-04-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401414249

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.

Secondary Practice Locations

1429 N Augusta St

Staunton, VA 244012402

Phone: 5406882123

Practice Associates & Co-Workers

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

2 Associated Practitioners
Bashayer Mulla

Dentist - Endodontics

NPI 1245153725
NPI 1578329652

Career & Practice History Timeline

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

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2025

Dentist (License #0401414249 in VA)

📍
Updated Practice Location September 23, 2024

Registered at 520 N 12TH ST FL 4, RICHMOND, VA 232985064 (Tel: 5307012102)

NPI Profile Active May 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2017

Registered at 12517 JEFFERSON DAVIS HWY, CHESTER, VA 238315305 (Tel: 8044120875)

📍
Updated Business Mailing Address May 31, 2017

Registered at PO BOX 1927, CHESTERFIELD, VA 238329109 (Tel: (530) 701-2102)

👤
Provider Name / Credentials Updated May 31, 2017

Recorded as MICHAEL KENNEDY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2017

Dentist (License #36668 in CA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 870 W ONSTOTT RD STE B, YUBA CITY, CA 959913500 (Tel: 5306712580)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2219 W RIDGE DR, SUTTER, CA 959822353 (Tel: 5306711209)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL KENNEDY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #36668 in CA)

🟢
Initial NPI Registration & Enumeration October 03, 2006

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: 1639263643
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: April 06, 2025
Sole Proprietor: No

Mailing Address

Po Box 1927

Chesterfield, VA 238329109

Phone: 5307012102

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.