Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164639282 Individual Practitioner Male Practitioner

Dr. David D Kellogg , DDS

Dentist - General Practice • Walla Walla, WA

Professional Overview & Biography Verified Profile Summary

Dr. David Kellogg, DDS is a registered healthcare professional specializing in Dentist - General Practice in Walla Walla, WA. Practice services are available at 1602 PENNY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1602 Penny Ln

Walla Walla, WA 993624477

Telephone 5095220940
Fax 5095259063
Associated Practice Facility / Clinic
🏢 Kellogg & Kellogg Ps Facility NPI 1912124637

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Walla Walla, WA

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

Practicing in Walla Walla, 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 DE00006215

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5023346 (WA)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Chad Ordelheide , DDS

Dentist - General Practice

NPI 1033230636

Doctor of Dental Surgery

Dr. Julie Kellogg , DDS

Dentist - General Practice

NPI 1063629194

Doctor of Dental Surgery

Dr. Don Kellogg , DDS

Dentist - General Practice

NPI 1700093127

Doctor of Dental Surgery

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

📍
Updated Practice Location July 08, 2007

Registered at 1602 PENNY LN, WALLA WALLA, WA 993624477 (Tel: 5095220940)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1602 PENNY LN, WALLA WALLA, WA 993624477 (Tel: 5095220940)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID KELLOGG, DDS

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

Dentist (License #DE00006215 in WA)

🟢
Initial NPI Registration & Enumeration May 17, 2007

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: 1164639282
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1602 Penny Ln

Walla Walla, WA 993624477

Phone: 5095220940

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.