KENNETH HAROLD DOLAN II DDS
NPI 1568637528
Dentist in Charleston, WV

Active since April 29, 2008PECOS Enrolled
4303 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 925-3177(304) 926-6867 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2021, Apr 28, 2021, Jan 21, 2016 (3 updates tracked since 2016).

About Kenneth Harold Dolan Ii Dds NPPES

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

KENNETH HAROLD DOLAN II DDS (NPI 1568637528) is an individual dentist in Charleston, West Virginia, licensed in West Virginia (3780) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568637528
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKENNETH HAROLD DOLAN IICredential: DDS
Location Address4303 MACCORKLE AVE SECharleston, WV 25304-2503
Mailing Address4303 Maccorkle Ave SeCharleston, WV 25304-2503 · (304) 925-3177 · Fax (304) 926-6867
Fax(304) 926-6867
Sole ProprietorNo
Enumeration DateApril 29, 2008
Last NPPES UpdateJune 17, 20213 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
NPI 1568637528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in WV · 3780
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4303 MACCORKLE AVE SE, Charleston, WV 25304

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenneth Harold Dolan Ii Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Mechanotherapist
4303 MACCORKLE AVE SE
CHARLESTON, WV 25304
Dentist (General Practice)
4303 MACCORKLE AVE SE
CHARLESTON, WV 25304
Dentist (General Practice)
4303 MACCORKLE AVE SE
CHARLESTON, WV 25304
Dentist (General Practice)
4303 MACCORKLE AVE SE
CHARLESTON, WV 25304

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 Dolan's NPI number?

The NPI number for Kenneth Dolan is 1568637528. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is Kenneth Dolan located?

Kenneth Dolan practices at 4303 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 925-3177.

What is Kenneth Dolan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kenneth Dolan enrolled in Medicare?

Yes. Kenneth Dolan is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Dolan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Kenneth Dolan 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 Kenneth Dolan was last updated on June 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.