KENNETH LEE MARQUARDT (NPI# 1487632972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487632972 |
| Entity Type | Individual |
| Full Name | KENNETH LEE MARQUARDT |
| Credential | D.D.S. |
| Practice Address |
128 Chaffee Fort Bliss TX 79906-3811 |
| Mailing Address |
231 Polaris St White Sands Missile Range NM 88002-1074 |
| Practice Telephone | 9155681101 |
| Practice Fax Number | 9155684113 |
| Mailing Telephone | 5056788707 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
15349 | TX | Dental Providers |
| Street Address |
128 CHAFFEE |
| City | FORT BLISS |
| State | TX |
| Zip Code | 79906-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922562073 | Anthony Patrick Perales | Physical Therapist | 11133 Ssg Sims St, Fort Bliss, TX 79906 | 2019-01-23 |
| 1336610237 | Guadalupe Gomez | Social Worker | 1026 Chafee Rd, El Paso, TX 79906 | 2018-12-17 |
| 1598259525 | Phillip Harrison | Physician Assistant | Mendoza Clinic, 11335 Ssg Sims, Fort Bliss, TX 79906 | 2018-06-22 |
| 1447601950 | Kayla Gale Hone | Dental Hygienist | 11344 Ssg Sims, Fort Bliss, TX 79906 | 2016-06-27 |
| 1104283498 | Respira, Inc. | Durable Medical Equipment & Medical Supplies | 1611 Marshall Road, Fort Bliss, TX 79906 | 2016-01-19 |
| 1083967657 | National Vision, Inc. | Technician/Technologist | Fort Bliss Main Exchange, Bldg. 1616, Ste. F107, Fort Bliss, TX 79906 | 2012-10-19 |
| 1306074729 | Jennifer Stierwalt Domingo | Psychiatry & Neurology | Building 2489, Ricker Road, West Bliss Clinic, Fort Bliss, TX 79906 | 2009-06-24 |
| 1912176223 | Progreso Eyecare | Optometrist | Bldg. 1611 Marshall Road, Main Px Mall, Fort Bliss, TX 79906 | 2008-02-21 |
| 1932165651 | Gulabdas D Hariyani | General Practice | 6380 Morgan Ave, Suite E, El Paso, TX 79906 | 2006-04-21 |
| 1447750443 | Torey Elaina Sippio-james | Registered Nurse | 5613 Rattlesnake Springs Rd Apt D, El Paso, TX 79906-2106 | 2018-02-15 |
| Find all providers in zip 79906 | ||||
| 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 |
|---|---|---|---|---|
| 1871192625 | Spencer Lyn Rogers | Dentist | 11334 Ssg Sims St, Fort Bliss, AP 79908 | 2020-10-22 |
| 1346895596 | Parker Nash Benton | Dentist | 2901 Cassidy Rd, Fort Bliss, TX 79916-3502 | 2019-08-05 |
| 1568790186 | Thomas E. Wilson | Dentist | Bldg 128 Chaffee Rd, Us Army Dental Activit, Fort Bliss, TX 79916 | 2009-11-19 |
| 1558348342 | Felix M Latorre | Dentist | 128 Chaffee Road, Fort Bliss, TX 79906-3811 | 2005-12-22 |
| 1780669549 | Juan Navarrete Jr. | Dentist | 128 Chaffee Rd, Fort Bliss, TX 79906-3811 | 2005-12-14 |
| 1053396010 | Roger Dale Glenn | Dentist | 128 Chaffee Rd., Fort Bliss, TX 79906-3811 | 2005-12-13 |
| 1881206837 | Michael Patrick Hays | Dentist | 2954 Carrington Rd, Fort Bliss, TX 79916 | 2020-08-20 |
| 1396931499 | Marcus Steven Lastimado | Dentist | 128 Chaffee Road, Fort Bliss, TX 79906-3811 | 2007-09-21 |
| 1174572663 | Nathaniel Kiyoshi Butko | Dentist | 128 Chaffee Road, Fort Bliss, TX 79906-3811 | 2006-05-10 |
| 1083680912 | Willaim Andrew Heath | Dentist | 128 Chaffee Road, Fort Bliss, TX 79906-3811 | 2006-02-28 |
| Find all providers in FORT BLISS | ||||
| City | FORT BLISS |
| Zip Code | 79906 |
Please comment or provide details below to improve the information on KENNETH LEE MARQUARDT.
| 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.