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MITCHELL SHAW KENNEDY
NPI 1124863873
Dentist in Janesville, WI

Active since June 26, 2024
1336 CRESTON PARK DR, JANESVILLE, WI 53545(608) 755-1082 Get Directions Write a Review

NPPES record last updated: August 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2024, Jun 26, 2024 (2 updates tracked since 2024).

About Mitchell Shaw Kennedy NPPES

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

MITCHELL SHAW KENNEDY (NPI 1124863873) is an individual dentist in Janesville, Wisconsin, licensed in Wisconsin (6001611-15) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1124863873
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMITCHELL SHAW KENNEDY
Location Address1336 CRESTON PARK DRJanesville, WI 53545-1119
Mailing Address1336 Creston Park DrJanesville, WI 53545-1119 · (608) 755-1082
Phone(608) 755-1082
Sole ProprietorNo
Enumeration DateJune 26, 2024
Last NPPES UpdateAugust 24, 20242 updates tracked since enumeration
NPPES CertifiedAugust 24, 2024
✔ NPI 1124863873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 6001611-15
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.
1336 CRESTON PARK DR, Janesville, WI 53545
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc..Insurance ›

Other Providers at the Same Location NPPES 7

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

DR. SCOTT A LIPKER DDS
Dentist (General Practice)
1336 CRESTON PARK DR
JANESVILLE, WI 53545
Rock County (608) 755-1082
MATTHEW JOHN MCDONALD
Dentist
1336 CRESTON PARK DR
JANESVILLE, WI 53545
Rock County (608) 755-1082
DR. JOHN ALLEN BROSE
Dentist (General Practice)
1336 CRESTON PARK DR
JANESVILLE, WI 53545
Rock County (608) 752-8792
JORDAN FEUCHTENBERGER DDS
Dentist
1336 CRESTON PARK DR
JANESVILLE, WI 53545
Rock County (608) 755-1082
DR. MATTHEW E. RICHARDSON DDS
Dentist
1336 CRESTON PARK DR
JANESVILLE, WI 53545
Rock County (608) 755-1082
AGARD & LIPKER DENTAL, S.C.
Dentist (General Practice)
1336 CRESTON PARK DR
JANESVILLE, WI 53545
Rock County (608) 755-1082
DR. DOUGLAS E. AGARD DDS
Dentist (General Practice)
1336 CRESTON PARK DR
JANESVILLE, WI 53545
Rock County (608) 755-1082

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 Mitchell Kennedy's NPI number?

The NPI number for Mitchell Kennedy is 1124863873. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Where is Mitchell Kennedy located?

Mitchell Kennedy practices at 1336 Creston Park Dr, Janesville, WI 53545. The listed phone number is (608) 755-1082.

What is Mitchell Kennedy's specialty?

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

What insurance does Mitchell Kennedy accept?

Health plans from Delta Dental of Wisconsin, Inc. list Mitchell Kennedy 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 Mitchell Kennedy was last updated on August 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.