Kennett Dental Associates, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KENNETT DENTAL ASSOCIATES, PC

Doing business as

Kennett Dental

Practice address

402 McFarlan Rd Ste 303
Kennett Square, PA 19348-2453

Phone

(610) 444-4033

Fax

(610) 444-8963

NPI assigned

Aug 15, 2024

Last updated

Aug 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexandra Park, DMDNPI 1396136099

Title

Dentist

Phone

(267) 266-0423

Specialties & licenses 1

Addresses

Other names 1

• Kennett Dental Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandra Park, D.M.D.

  • Dentist
  • Kennett Square, PA
  • NPI 1396136099
  NPD Authorized official
• Glenn William Paskow, DMD

  • General Practice Dentistry
  • Kennett Square, PA
  • NPI 1962683805
  NPD (past)
• Richard Morrie Ram, DMD

  • General Practice Dentistry
  • Kennett Square, PA
  • NPI 1518148451
  NPD (past)

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1104658582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MCFARLAN RD STE 303",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482453",
            "telephone_number": "610-444-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MCFARLAN RD STE 303",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482453",
            "telephone_number": "610-444-4033",
            "fax_number": "610-444-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETT DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "267-266-0423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennett Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kendal-Crosslands Communities (Residential Crosslands (main) 2. Kendal at Crosslands)
• Kendal-Crosslands Communities (Kendal at Longwood)
• Kennett Chiropractic Center PA
• Kennett Consolidated School District
• Kennett Counseling, LLC
• Kennett Endodontics, PC
• Kennett Fire Company Number 1
• Kennett Square Chiropractic and Rehabilitation, P.C.
• Kennett Square Eye Care LLC
• Kennett Square Family Dentistry, LLC

• Dental Clinic/Center in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.