KENNETH KILLPACK, DDS, P.C.
NPI 1508698374
Dentist - General Practice in Vancouver, WA

Active since August 19, 2024
13503 SE MILL PLAIN BLVD STE B2, VANCOUVER, WA 98684(360) 254-1307 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Killpack, Dds, P.c. NPPES

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

KENNETH KILLPACK, DDS, P.C. (NPI 1508698374), doing business as Affordable Dentures & Implants - Vancouver, is a healthcare organization registered as a general practice in Vancouver, Washington and active in the NPI registry since August 2024. The organization lists Kenneth Killpack, Owner, as its authorized official.

NPPES Registry Identity

NPI1508698374
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKENNETH KILLPACK, DDS, P.C.
Location Address13503 SE MILL PLAIN BLVD STE B2Vancouver, WA 98684-6992
Mailing Address13503 Se Mill Plain Blvd Ste B2Vancouver, WA 98684-6992 · (360) 254-1307
Organization SubpartNo
Authorized OfficialKenneth KillpackOwner · (360) 254-1307
Enumeration DateAugust 19, 2024
NPPES CertifiedAugust 19, 2024
NPI 1508698374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
13503 SE MILL PLAIN BLVD STE B2, Vancouver, WA 98684

Other Names 1

Doing Business AsAffordable Dentures & Implants - Vancouver

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

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 Killpack, Dds, P.C.'s NPI number?

The NPI number for Kenneth Killpack, Dds, P.C. is 1508698374. It was assigned to this organization in the NPPES registry on August 19, 2024. The provider is doing business as Affordable Dentures & Implants - Vancouver.

Where is Kenneth Killpack, Dds, P.C. located?

Kenneth Killpack, Dds, P.C. is located at 13503 SE Mill Plain Blvd Ste B2, Vancouver, WA 98684. The listed phone number is (360) 254-1307.

What is Kenneth Killpack, Dds, P.C.'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 Killpack, Dds, P.C. was last updated on August 19, 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.