MR. KENNETH EUGENE KOENKE DDS
NPI 1801955364
Dentist - General Practice in Freeport, ME

Active since December 08, 2006

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Kenneth Eugene Koenke Dds NPPES

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

MR. KENNETH EUGENE KOENKE DDS (NPI 1801955364) is an individual general practice provider in Freeport, Maine, licensed in Maine (3792) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1801955364
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. KENNETH EUGENE KOENKECredential: DDS
Location Address37 BOW STFreeport, ME 04032
Mailing Address13063 Brookmead DrManassas, VA 20112 · (703) 794-9219
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1801955364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in ME · 3792 Licensed in MO · 12625
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.

37 BOW ST, Freeport, ME 04032

Other Names 1

Professional Name (2)Dr. Kenneth Eugene Koenke Dds

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801955364, enumerated as an "individual" on December 08, 2006.

The provider is located at 37 BOW ST FREEPORT, ME 04032 and the phone number is (207) 865-0673.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.