Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316058241 Individual Practitioner Male Practitioner

Dr. Kevin Dean Fedak , DDS

Dentist - General Practice • Lacey, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Fedak, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lacey, WA. Practice services are available at 5330 CORPORATE CENTER LOOP SE STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5330 Corporate Center Loop Se Ste B

Lacey, WA 985035558

Telephone 3604565151
Fax 3604560525

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lacey, WA

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

Practicing in Lacey, 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 7514

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5330 CORPORATE CENTER LOOP SE STE B, LACEY, WA 985035558 (Tel: 3604565151)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5330 CORPORATE CENTER LOOP SE STE B, LACEY, WA 985035558 (Tel: 3604565151)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEVIN FEDAK, DDS

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

Dentist (License #7514 in WA)

🟢
Initial NPI Registration & Enumeration August 31, 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: 1316058241
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

5330 Corporate Center Loop Se Ste B

Lacey, WA 985035558

Phone: 3604565151

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.