Provider Demographics
NPI:1689759953
Name:KENT, DENNIS KAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:KAY
Last Name:KENT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:40TH AND HOLDREGE STREET
Mailing Address - Street 2:UNIVERSITY DENTAL ASSOCAITES, ROOM 137
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68583-0740
Mailing Address - Country:US
Mailing Address - Phone:402-472-1356
Mailing Address - Fax:402-472-0048
Practice Address - Street 1:40TH AND HOLDREGE STREET
Practice Address - Street 2:UNIVERSITY DENTAL ASSOCAITES, ROOM 137
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68583-0740
Practice Address - Country:US
Practice Address - Phone:402-472-1356
Practice Address - Fax:402-472-0048
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE44581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE5833OtherBC/BS
NE47078998500Medicaid