DR. CHARLES B KENDALL III (NPI# 1720223100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720223100 |
| Entity Type | Individual |
| Full Name | DR. CHARLES B KENDALL III |
| Credential | D.D.S. |
| Practice Address |
4545 Bellaire Dr S Suite 5 Fort Worth TX 76109-1889 |
| Practice Telephone | 8177310206 |
| Practice Fax Number | 8177310207 |
| Mailing Telephone | 8177310206 |
| Mailing Fax Number | 8177310207 |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9075 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396852893 | Charles Kendall | Dentist | 5041 Bellemeade Ave, Evansville, IN 47715 | 2006-08-23 |
| 1215916572 | Charles Wayne Kendall | Chiropractor | 3297 Arlington Ave, 102, Riverside, CA 92506-3249 | 2006-01-13 |
| 1144714338 | Charles Kendall | Dentist | 4830 Quail Crest Pl, Lawrence, KS 66049-3838 | 2018-06-20 |
| 1346344603 | Charles Norman Kendall | Radiology | 3400 Lebanon Road, Va Tenn Valley Health Care Syst, Murfreesboro, TN 37129 | 2006-09-08 |
| 1730197583 | Charles Addison Kendall | Internal Medicine | 10010 E Truman Rd, Independence, MO 64052-2160 | 2006-08-04 |
| 1558358507 | Charles Martin Kendall | Family Medicine | 512 Skyline Blvd, Cloquet, MN 55720-1199 | 2005-10-04 |
| Street Address |
4545 BELLAIRE DR S SUITE 5 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-1889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740243708 | Robert Matthew Sorokolit | Dentist | 4545 Bellaire Dr S, Suite 1, Fort Worth, TX 76109-1889 | 2006-04-10 |
| 1609220367 | Fort Worth Personal Medicine, Pllc | Clinic/Center | 4545 Bellaire Dr S, Suite 2, Fort Worth, TX 76109-1889 | 2016-04-19 |
| 1083082754 | Hannah Bing | Counselor | 4545 Bellaire Dr S, Suite 6, Fort Worth, TX 76109-1889 | 2015-09-10 |
| 1013384775 | Lesley Schmitz D.o. and Associates | Neuromusculoskeletal Medicine & OMM | 4545 Bellaire Dr S, Suite 200, Fort Worth, TX 76109-1889 | 2015-08-28 |
| 1659657948 | Stephen D Ake | Family Medicine | 4545 Bellaire Dr S, Suite 2, Fort Worth, TX 76109-1889 | 2011-10-31 |
| 1689718975 | Fort Worth Med-peds Associates P.a. | Clinic/Center | 4545 Bellaire Dr S, Suite 9, Fort Worth, TX 76109-1889 | 2007-02-19 |
| 1235148354 | Ramona M Torgerson | Dentist | 4545 Bellaire Dr S, Ste. #8, Fort Worth, TX 76109-1889 | 2006-08-07 |
| 1295776391 | Mark Andrew Lindemann | Internal Medicine | 4545 Bellaire Dr S, Suite 9, Fort Worth, TX 76109-1889 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| 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 |
|---|---|---|---|---|
| 1841899226 | Calvin Eastwood Dds Pllc | Dentist | 3088 Basswood Blvd # 150, Fort Worth, TX 76137-1676 | 2020-10-18 |
| 1205440146 | Ismile Dental At The Chisolm Trail Pllc | Dentist | 5513 Sycamore School Rd, Fort Worth, TX 76123 | 2020-09-08 |
| 1770118911 | Dentists At Chisholm Trail, PC | Dentist | 9604 Ten Gallon Dr, Fort Worth, TX 76123-2186 | 2020-03-09 |
| 1821620121 | Eastchase Mighty Pllc | Dentist | 8430 East Fwy # 115, Fort Worth, TX 76120-4428 | 2020-02-05 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1225685449 | Cody Brown Dds Pllc | Dentist | 2701 W Heritage Trace Pkwy, Ste 130, Fort Worth, TX 76177 | 2019-08-22 |
| 1558916361 | Nimu Pllc | Dentist | 5325 Mcpherson Blvd, Suite 120, Fort Worth, TX 76123 | 2019-08-08 |
| 1730733171 | Andrea Uglem | Dentist | 2700 Horne St Ste 120, Fort Worth, TX 76107-4604 | 2019-07-24 |
| 1790338325 | Mint Dentistry Pllc | Dentist | 3901 West Fwy Ste 113, Fort Worth, TX 76107-5654 | 2019-07-23 |
| 1124671094 | Emily Jane Creighton | Dentist | 1100 S Lake St, Fort Worth, TX 76104-4374 | 2019-07-19 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
Please comment or provide details below to improve the information on DR. CHARLES B KENDALL III.
| 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.