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DR. KENNETH JOHN WENDORF D.D.S.
NPI 1215196563
Dentist - General Practice in Kenosha, WI

Active since June 03, 2008
3220 80TH ST, KENOSHA, WI 53142(252) 694-8500 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth John Wendorf D.d.s. NPPES

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

DR. KENNETH JOHN WENDORF D.D.S. (NPI 1215196563) is an individual general practice provider in Kenosha, Wisconsin, licensed in Wisconsin (5001665) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1215196563
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENNETH JOHN WENDORFCredential: D.D.S.
Location Address3220 80TH STKenosha, WI 53142-4948
Mailing Address3220 80th StKenosha, WI 53142-4948 · (252) 694-8500
Phone(252) 694-8500
Sole ProprietorYes
Enumeration DateJune 3, 2008
✔ NPI 1215196563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 5001665
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.
3220 80TH ST, Kenosha, WI 53142
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Other Providers at the Same Location NPPES

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

DR. PAMELA A KACZMAREK PSYD
Psychologist (Clinical)
3220 80TH ST
KENOSHA, WI 53142
Kenosha County (262) 358-6707

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 Wendorf's NPI number?

The NPI number for Kenneth Wendorf is 1215196563. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is Kenneth Wendorf located?

Kenneth Wendorf practices at 3220 80th St, Kenosha, WI 53142. The listed phone number is (252) 694-8500.

What is Kenneth Wendorf's specialty?

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

When was this NPI record last updated?

The NPPES record for Kenneth Wendorf was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.