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KENMARE DENTAL CLINIC
NPI 1164677399
Dentist - General Practice in Kenmare, ND

Active since December 02, 2008
318 1ST AVE NE, KENMARE, ND 58746(701) 385-4041(701) 385-4986 Get Directions Write a Review

NPPES record last updated: December 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenmare Dental Clinic NPPES

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

KENMARE DENTAL CLINIC (NPI 1164677399) is a healthcare organization registered as a general practice in Kenmare, North Dakota and active in the NPI registry since December 2008. The organization lists Tracy Lynn Thelen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1164677399
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKENMARE DENTAL CLINIC
Location Address318 1ST AVE NEKenmare, ND 58746-0638
Mailing AddressP.o. Box 638Kenmare, ND 58746-0638 · (701) 385-4041 · Fax (701) 385-4986
Phone(701) 385-4041
Fax(701) 385-4986
Organization SubpartYes
Authorized OfficialTracy Lynn ThelenOffice Manager · (701) 385-4041
Enumeration DateDecember 2, 2008
✔ NPI 1164677399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ND · 1792
Definition
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.
318 1ST AVE NE, Kenmare, ND 58746
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Other Identifiers 1

Medicaid41118ND

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

Other Providers at the Same Location NPPES

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

ERIC M GANES DDS
Dentist
318 1ST AVE NE
KENMARE, ND 58746
Ward County (701) 385-4041

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 Kenmare Dental Clinic's NPI number?

The NPI number for Kenmare Dental Clinic is 1164677399. It was assigned to this organization in the NPPES registry on December 2, 2008.

Where is Kenmare Dental Clinic located?

Kenmare Dental Clinic is located at 318 1st Ave NE, Kenmare, ND 58746. The listed phone number is (701) 385-4041.

What is Kenmare Dental Clinic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kenmare Dental Clinic accept?

Health plans from Blue Cross Blue Shield of North Dakota list Kenmare Dental Clinic 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 Kenmare Dental Clinic was last updated on December 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.