Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1104923200 Deactivated / Inactive NPI Male Practitioner

Dr. Floyd L Packard , DDS

Dentist - General Practice • Kennewick, WA

⚠️

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. Floyd Packard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2006
NPI Deactivation Date July 08, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Floyd Packard, DDS was a registered Dentist - General Practice practicing in Kennewick, WA. Throughout an active medical career spanning 15 years, Dr. Packard provided care at the practice location at 216 N EDISON ST until profile deactivation on 2021-07-08.

Practice Location & Contact Primary Location

Practice Address

216 N Edison St

Kennewick, WA 993361956

Telephone 5097370327
Fax 5097371360
Associated Practice Facility / Clinic
🏢 Csdental, Pllc Facility NPI 1679642151

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kennewick, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
42 Specialists

Practicing in Kennewick, WA (3345 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 10013

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

5 Associated Practitioners
Dr. Kimball Larsen , DDS

Dentist - General Practice

NPI 1215072087

Doctor of Dental Surgery

NPI 1487227203

Doctor of Dental Surgery

Dr. Jared Despain , DDS

Dentist - General Practice

NPI 1578660437

Doctor of Dental Surgery

NPI 1710613484

Doctor of Dental Medicine

Dr. Robert Perry , DDS

Dentist - General Practice

NPI 1932410040

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated July 08, 2021

Record deactivated on July 08, 2021

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 216 N EDISON ST, KENNEWICK, WA 993361956 (Tel: 5097370327)

📍
Updated Business Mailing Address July 09, 2007

Registered at 216 N EDISON ST, KENNEWICK, WA 993361956 (Tel: 5097370327)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as FLOYD PACKARD, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #10013 in WA)

🟢
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Floyd Packard. Be the first to share your experience!

Sign in to leave a review for Dr. Floyd Packard

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1104923200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: July 09, 2007
Deactivation Date: July 08, 2021

Mailing Address

216 N Edison St

Kennewick, WA 993361956

Phone: 5097370327

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.