Kennel and Kennel, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KENNEL AND KENNEL, PLLC

Practice address

14411 Ambaum Blvd SW Ste B
Burien, WA 98166-1423

Phone

(602) 620-4105

NPI assigned

Dec 13, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sofia Kennel, DDSNPI 1770966871

Title

Pediatric Dentist

Phone

(602) 620-4105

Specialties & licenses 1

Addresses

Other names 1

• Burien Children's Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sofia Kennel, DDS

  • Pediatric Dentistry
  • Burien, WA
  • NPI 1770966871
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1053022798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 AMBAUM BLVD SW STE B",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 AMBAUM BLVD SW STE B",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661423",
            "telephone_number": "602-620-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEL AND KENNEL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "KENNEL",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "602-620-4105",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burien Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorianna L Kellum, PTA
• Megan Kelly, MD
• Temesgen Kenea
• Scott C Kennard, M.D.
• Sandra J. Kennedy, A.R.N.P.
• Scott Kennel, D.D.S.
• Sofia Kennel, DDS
• Michael M Kennelly, M.D.
• Kenner and Kenner PLLC
• William Clinton Kenner V, DDS

• Dental Clinic/Center in Burien, WA
• Providers in Burien, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.