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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KENNETH BRUCE WEDDELL DDS
NPI 1104884147
Dentist in Fremont, MI

Active since May 01, 2006PECOS Enrolled
111 W DAYTON ST, FREMONT, MI 49412(231) 924-3600(231) 924-9720 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Bruce Weddell Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH BRUCE WEDDELL DDS (NPI 1104884147) is an individual dentist in Fremont, Michigan, licensed in Michigan (14503) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104884147
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KENNETH BRUCE WEDDELLCredential: DDS
Location Address111 W DAYTON STFremont, MI 49412
Mailing Address111 W Dayton St, Po Box 437Fremont, MI 49412 · (231) 924-3600 · Fax (231) 924-9720
Phone(231) 924-3600
Fax(231) 924-9720
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1104884147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 14503
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
111 W DAYTON ST, Fremont, MI 49412
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Other Identifiers 2

OtherD808140MI · Bcbs
Other847376Un Concordia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Bruce Weddell Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49412 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALTER I COLEMAN DDS
Dentist
111 W DAYTON ST
FREMONT, MI 49412
Newaygo County (231) 924-3600
DR. JENNIFER M BOYD DDS
Dentist
111 W DAYTON ST
FREMONT, MI 49412
Newaygo County (231) 924-3600
WALTER I. COLEMAN, DDS, PLLC
Clinic/Center (Dental)
111 W DAYTON ST
FREMONT, MI 49412
Newaygo County (231) 924-3600
KENNETH B WEDDELL DDS PC
Dentist
111 W DAYTON ST
FREMONT, MI 49412
Newaygo County (231) 924-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Weddell's NPI number?

The NPI number for Kenneth Weddell is 1104884147. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Kenneth Weddell located?

Kenneth Weddell practices at 111 W Dayton St, Fremont, MI 49412. The listed phone number is (231) 924-3600.

What is Kenneth Weddell's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kenneth Weddell enrolled in Medicare?

Yes. Kenneth Weddell is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Weddell accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Kenneth Weddell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Weddell was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.