Kenneth McKenzie Clow, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

D10652 Issued in OR

Practice address

8995 SW Miley Rd Ste 101
Wilsonville, OR 97070-5485

Phone

(971) 433-2724

NPI assigned

May 4, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• RDKC, LLC

  • Dental Clinic/Center
  • Wilsonville, OR
  • NPI 1093533671
  NPD Authorized official
• Dental Care of Montana, LLC

  • Dental Clinic/Center
  • Missoula, MT
  • NPI 1124754544
  NPD (past)

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1841645231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28651 GREENWAY DR",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707752",
            "telephone_number": "503-880-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8995 SW MILEY RD STE 101",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970705485",
            "telephone_number": "971-433-2724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Maple St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598082089",
            "country_code": "US",
            "telephone_number": "406-919-6141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Danby St",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997014372",
            "country_code": "US",
            "telephone_number": "907-374-6688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOW",
        "first_name": "KENNETH",
        "middle_name": "MCKENZIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "135501",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D10652",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "25369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.