IndividualActive
Jared Kenney, DDS
NPI 1104238716 · Oral and Maxillofacial Surgery (Dentist) · Maricopa, AZ
Provider details
- NPI number
- 1104238716
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D009960 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21300 N John Wayne Pkwy Ste 114
Maricopa, AZ 85139
Phone: (520) 231-6700
Fax: (520) 208-9066
Street-level locationGet directions
Mailing address
3232 E Redwood Ln
Phoenix, AZ 85048-7834
Additional practice locations (1)
- 3200 S Gilbert Rd Ste 117Chandler, AZ 85286-5107Phone: (520) 231-6700Fax: (520) 208-9066
Registry dates
- Enumerated
- 2014-05-30
- Last updated
- 2024-12-28
- Certified
- 2024-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.