IndividualActive
Kevin DO
NPI 1710687025 · General Practice Dentistry · Dallas, TX
Provider details
- NPI number
- 1710687025
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 40783 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
9780 Walnut St
Ste 188
Dallas, TX 75243-2350
Phone: (469) 330-9968
Street-level locationGet directions
Mailing address
9780 Walnut St
Dallas, TX 75243
Registry dates
- Enumerated
- 2023-03-06
- Last updated
- 2025-11-26
- Certified
- 2025-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.