Kenneth Liu, DMD, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D.0006524-C1 Issued in AL

Practice address

4501 Southlake Pkwy Ste 201
Hoover, AL 35244-3645

Phone

(205) 822-3222

NPI assigned

Jul 3, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northport Periodontics and Implant Dentistry LLC

  • Periodontics
  • Northport, AL
  • NPI 1861295362
  NPD Authorized official
• Alabama Dental Specialist LLC

  • Periodontics
  • Troy, MI
  • NPI 1619599297
  NPD (past)
• Bay Implant and Perio, PLLC

  • Periodontics
  • Lynn Haven, FL
  • NPI 1427900356
  NPD (past)

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1679069660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 SOUTHLAKE PKWY STE 201",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 SOUTHLAKE PKWY STE 201",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443645",
            "telephone_number": "205-822-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-03",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "26152",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AL",
            "license": "D.0006524-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Oliveira Lima, MD
• Chien Chung Lin, LMT
• Lincare Inc.
• Megan Lindsey, RD, CDE
• Charles M Littleton Jr., PHARM.D.
• Living Learning Legends LLC Dba Mastery Mindset ABA
• Living Tree Therapy, LLC
• Mariam Atef Kamel Lobbous, MD
• Alice Hawley Long, LPC
• Tami Mayes Long, PHD, LPC, CEAP

• Periodontics in Hoover, AL
• Providers in Hoover, AL by specialty
• Periodontics in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2025; 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.