DR. KENNETH MARK PARDO DDS
NPI 1477685113
Dentist - General Practice in Blauvelt, NY

Active since March 09, 2007
22 YALE TER, BLAUVELT, NY 10913(845) 365-0449 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth Mark Pardo Dds NPPES

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

DR. KENNETH MARK PARDO DDS (NPI 1477685113) is an individual general practice provider in Blauvelt, New York, licensed in New York (034602) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1477685113
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENNETH MARK PARDOCredential: DDS
Location Address22 YALE TERBlauvelt, NY 10913-1421
Mailing Address22 Yale TerBlauvelt, NY 10913-1421 · (845) 365-0449
Sole ProprietorYes
Enumeration DateMarch 9, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1477685113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 034602
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.

22 YALE TER, Blauvelt, NY 10913

Other Identifiers 1

Medicaid02701724NY

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 Pardo's NPI number?

The NPI number for Kenneth Pardo is 1477685113. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Kenneth Pardo located?

Kenneth Pardo practices at 22 Yale Ter, Blauvelt, NY 10913. The listed phone number is (845) 365-0449.

What is Kenneth Pardo'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 Pardo was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.