KENEDY FOMENKO D.M.D
NPI 1528801081
Dentist - General Practice in Mancelona, MI
About Kenedy Fomenko D.m.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENEDY FOMENKO D.M.D (NPI 1528801081) is an individual general practice provider in Mancelona, Michigan, licensed in Michigan (2901602262) and active in the NPI registry since June 2024.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kenedy Fomenko's NPI number?
The NPI number for Kenedy Fomenko is 1528801081. It was assigned to this individual provider in the NPPES registry on June 13, 2024.
Where is Kenedy Fomenko located?
Kenedy Fomenko practices at 205 Grove St, Mancelona, MI 49659. The listed phone number is (866) 878-6553.
What is Kenedy Fomenko's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
What insurance does Kenedy Fomenko accept?
Health plans from Delta Dental of Michigan list Kenedy Fomenko 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 Kenedy Fomenko was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kenedy Fomenko, D.M.D · NPI 1528801081
General Practice provider in Mancelona, Michigan. Individual provider, active in the CMS NPPES registry since June 13, 2024.
## Identity
- **NPI:** 1528801081 (Entity type: Individual)
- **Enumerated:** June 13, 2024
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 2901602262 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 205 GROVE ST, Mancelona, MI 49659-8018
- **Phone:** (866) 878-6553
## Record status
- **NPPES last updated:** June 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1528801081) · Data from the CMS NPPES public registry.