Scott Kennel, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60277312 Issued in WA

Practice address

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

Phone

(206) 246-4559

NPI assigned

Nov 15, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1235416405",
    "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",
            "telephone_number": "206-246-4559"
        },
        {
            "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": "206-246-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEL",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-15",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4385",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009794",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60277312",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60277312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kelly, MD
• Temesgen Kenea
• Scott C Kennard, M.D.
• Sandra J. Kennedy, A.R.N.P.
• Kennel and Kennel, PLLC (Burien Children's Dentistry)
• Sofia Kennel, DDS
• Michael M Kennelly, M.D.
• Kenner and Kenner PLLC
• William Clinton Kenner V, DDS
• William Clinton Kenner IV, DDS

• Pediatric Dentistry in Burien, WA
• Providers in Burien, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.