IndividualActive
Kenneth DO, DDS
NPI 1467201400 · General Practice Dentistry · Ridgefield, WA
Provider details
- NPI number
- 1467201400
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DENT.DE.61563404 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
109 S 65th Ave Ste 104
Ridgefield, WA 98642-3708
Phone: (360) 887-2333
Street-level locationGet directions
Mailing address
8423 Brighton Lake Ln
Houston, TX 77095-4761
Registry dates
- Enumerated
- 2024-05-14
- Last updated
- 2024-05-14
- Certified
- 2024-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.