DR. WILLIAM CLINTON KENNER V (NPI# 1295948784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295948784 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM CLINTON KENNER V |
| Credential | DDS |
| Practice Address |
1800 Sw 152nd St Burien WA 98166-1700 |
| Practice Telephone | 2062481339 |
| Mailing Telephone | 2062481339 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00010675 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053528018 | William Davis Kenner | Psychiatry & Neurology | 113 30th Ave N, Nashville, TN 37203-1325 | 2007-05-17 |
| 1497815724 | William Clinton Kenner Iv | Dentist | 1800 Sw 152nd St, Burien, WA 98166-1700 | 2006-12-08 |
| Street Address |
1800 SW 152ND ST |
| City | BURIEN |
| State | WA |
| Zip Code | 98166-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285668194 | Carl James Coleman | Dentist | 1800 Sw 152nd St, Burien, WA 98166-1700 | 2006-07-10 |
| 1982899209 | Carol Ann Snodgrass | Technician, Other | 1800 Sw 152nd St, Suite A, Burien, WA 98166-1700 | 2007-09-10 |
| 1922132448 | Jennifer A Mccollum | Naturopath | 1800 Sw 152nd St, Suite 203a, Burien, WA 98166-1700 | 2007-03-15 |
| 1497815724 | William Clinton Kenner Iv | Dentist | 1800 Sw 152nd St, Burien, WA 98166-1700 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
| Find all providers in zip 98166 | ||||
| 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 |
|---|---|---|---|---|
| 1073887550 | Sonika Singla, Dmd, Pllc | Dentist | 14212 Ambaum Blvd Sw # Ll1, Burien, WA 98166-1449 | 2012-03-01 |
| 1881927440 | Kyle Michael Beffa | Dentist | 124 S Normandy Rd, Burien, WA 98148-1708 | 2009-09-15 |
| 1245469360 | Sonika Singla | Dentist | 14212 Ambaum Blvd Sw Ste 1, Burien, WA 98166-1437 | 2009-07-10 |
| 1043406507 | Ji Kim-aun, Dds, Prasith Kim-aun, Dds, Pllc | Dentist | 14400 Ambaum Blvd Sw, Suite Q, Burien, WA 98166-1446 | 2007-09-19 |
| 1346462215 | Sabrina Marie Mandich | Dentist | 207 - Sw 156th Street, Suite #1, Burien, WA 98166-2561 | 2007-05-02 |
| 1841414174 | Sherrill Martin Conner | Dentist | 322 155th Street Sw, Suite A, Burien, WA 98166-2590 | 2007-04-11 |
| 1912029851 | Toni Calvo Waldbaum | Dentist | 207 Sw 156th Street, Suite #4, Burien, WA 98166-2561 | 2007-04-04 |
| 1528113677 | David W Larson | Dentist | 216 Sw 156th St Ste 2b, Burien, WA 98166-2566 | 2007-01-25 |
| 1780757724 | Richard Y. Nomura | Dentist | 322 Sw 155th St Ste B, Burien, WA 98166-2590 | 2006-11-16 |
| 1578632139 | Randall Clark Olson | Dentist | 610 Sw 152nd St, Burien, WA 98166-2213 | 2006-11-07 |
| Find all providers in BURIEN | ||||
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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.