IndividualActive
Kenneth Fedor, D.D.S.
NPI 1700812393 · General Practice Dentistry · San Diego, CA
Kenneth Fedor, D.D.S. is a General Practice Dentistry provider in San Diego, CA (NPI 1700812393).
Provider details
- NPI number
- 1700812393
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- License
- 39400 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
3350 La Jolla Village Dr
San Diego, CA 92161-0002
Phone: (858) 557-7525
Fax: (858) 552-7507
Approximate (ZIP-level) locationGet directions
Mailing address
1905 31st St
San Diego, CA 92102-1109
Registry dates
- Enumerated
- 2006-06-24
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kenneth Fedor's NPI number?
- Kenneth Fedor's National Provider Identifier (NPI) is 1700812393, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Fedor's specialty?
- Kenneth Fedor is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Kenneth Fedor located?
- Kenneth Fedor's practice location on file with NPPES is 3350 La Jolla Village Dr, San Diego, CA 92161-0002.
- What is Kenneth Fedor's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Fedor is (858) 557-7525.
- Is Kenneth Fedor's NPI active?
- Yes — Kenneth Fedor's NPI (1700812393) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.