OrganizationActive
Kenneth Killpack, DDS, P.C.
NPI 1508698374 · General Practice Dentistry · Vancouver, WA
Kenneth Killpack, DDS, P.C. is a General Practice Dentistry organization in Vancouver, WA (NPI 1508698374).
Provider details
- NPI number
- 1508698374
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kenneth Killpack, Owner(360) 254-1307
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
13503 Se Mill Plain Blvd Ste B2
Vancouver, WA 98684-6992
Phone: (360) 254-1307
Street-level locationGet directions
Mailing address
13503 Se Mill Plain Blvd Ste B2
Vancouver, WA 98684-6992
Other names (DBA / former)
- Doing business as
- Affordable Dentures & Implants - Vancouver
Registry dates
- Enumerated
- 2024-08-19
- Last updated
- 2024-08-19
- Certified
- 2024-08-19
Frequently asked questions
- What is Kenneth Killpack, DDS, P.C.'s NPI number?
- Kenneth Killpack, DDS, P.C.'s National Provider Identifier (NPI) is 1508698374, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenneth Killpack, DDS, P.C.?
- Kenneth Killpack, DDS, P.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kenneth Killpack, DDS, P.C. located?
- Kenneth Killpack, DDS, P.C.'s practice location on file with NPPES is 13503 Se Mill Plain Blvd Ste B2, Vancouver, WA 98684-6992.
- What is Kenneth Killpack, DDS, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Kenneth Killpack, DDS, P.C. is (360) 254-1307.
- Who is the authorized official for Kenneth Killpack, DDS, P.C.?
- The authorized official listed on Kenneth Killpack, DDS, P.C.'s NPPES record is Kenneth Killpack, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenneth Killpack, DDS, P.C.'s NPI active?
- Yes — Kenneth Killpack, DDS, P.C.'s NPI (1508698374) is active in the NPPES registry as of the last update on 2024-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.