KENNETH ANDREW MILLARD (NPI# 1013495639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013495639 |
| Entity Type | Individual |
| Full Name | KENNETH ANDREW MILLARD |
| Credential | DDS |
| Practice Address |
1647 Admiral Taussig Blvd Norfolk VA 23511-2803 |
| Mailing Address |
34 W 1700 S Orem UT 84058-7470 |
| Practice Telephone | 7579538635 |
| Mailing Telephone | 8014002857 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
102947 | CA | Dental Providers |
| Street Address |
1647 ADMIRAL TAUSSIG BLVD |
| City | NORFOLK |
| State | VA |
| Zip Code | 23511-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407775 | David A. Glass | Dentist | 1647 Admiral Taussig Blvd, Naval Dental Clinic, Norfolk, VA 23511-2803 | 2005-06-17 |
| 1386258564 | Ryan Huo | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-09-03 |
| 1699389312 | Stephen Shimp | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-09-01 |
| 1053925776 | Emil Alex Berkovich | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-09-01 |
| 1265043749 | Raymond Gozon | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-08-10 |
| 1427668789 | Travis Lee Hediger | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-08-03 |
| 1609485341 | Samer S. Gazale | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-07-29 |
| 1962011213 | Courtney Haron | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-07-23 |
| 1942818281 | Zachery J Pommer | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-07-22 |
| 1487262739 | Kristina Chang | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
| 1578059481 | Hillary Anne Diffee | Dentist | Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2018-07-03 |
| 1154860237 | Alexander Blau | General Practice | 1751 Morris Street, Comnavsurflant - Medical Readiness Division, Norfolk, VA 23511 | 2017-02-22 |
| 1205188307 | Agnes Bautista Banias | Dental Hygienist | 1647 Admiral Taussig Blvd Br Health Clinic, Naval Medical Center Portsmouth, Norfolk, VA 23511 | 2012-10-12 |
| 1891052676 | Conor Francis Hynes | Surgery | 1530 Gilbert St Ste 2000, Norfolk, VA 23511 | 2012-04-18 |
| 1871867747 | Brian Joseph Kennerley | Surgery | U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33, Norfolk, VA 23511 | 2012-02-23 |
| 1053629964 | Shawnly Heath Ward | Military Health Care Provider | Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 | 2010-09-14 |
| 1225351760 | Jocelyn Martinezdelgado | Military Health Care Provider | 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 | 2010-03-11 |
| 1245480854 | Vanessa O Hofilena | Dentist | 1647 Admiral Taussig Boulevard, Naval Medical Center Portsmouth - Dental Center, Norfolk, VA 23511 | 2008-09-19 |
| 1780833954 | Cecilia M Brownblake | Dentist | 1647 Admiral Taussig Blvd., Norfolk, VA 23511 | 2008-09-12 |
| Find all providers in zip 23511 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861003576 | Se Eun Ahn | Dentist | 1647 Admiral Taussig Blvd Ste 241, Norfolk, VA 23511-2803 | 2020-08-14 |
| 1740767276 | Yvonne Mack | Dentist | 1011 W Little Creek Rd Ste A, Norfolk, VA 23505-2025 | 2018-07-27 |
| 1578059481 | Hillary Anne Diffee | Dentist | Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2018-07-03 |
| 1295226710 | Aspen Dental of Eastern Virginia Pllc | Dentist | 1087 N Military Hwy, Norfolk, VA 23502-0028 | 2018-05-21 |
| 1083126320 | Vernon E. O'berry, Jr. Dds | Dentist | 400 Gresham Dr Ste 708, Norfolk, VA 23507-1991 | 2017-10-26 |
| 1295116382 | Wyley Wondercheck | Dentist | 513 S. 13th St., Norfolk, NE 68701 | 2015-06-15 |
| 1457731945 | Shabtai Sapir | Dentist | 65 Holbrook St Ste 210, Norfolk, MA 02056-1850 | 2015-06-01 |
| 1275930596 | Asif Sharif | Dentist | 5900 E Va Beach Blvd Ste 70, Norfolk, VA 23502-2514 | 2014-12-02 |
| 1891103321 | Matthew E Simon | Dentist | 5801 Lowery Rd, 101, Norfolk, VA 23502-2213 | 2014-07-28 |
| 1386080109 | John Steve Kuvetakis | Dentist | 110 N 16th St Ste 12, Norfolk, NE 68701-3671 | 2013-05-20 |
| Find all providers in NORFOLK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.