# KENNETH J PATTERSON DDS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417330481
- **Authorized official:** KENNETH J PATTERSON DDS (OWNER)
- **Authorized official phone:** (765) 288-4882

## Contact information

- **Practice address:** 1608 W YALE AVE, MUNCIE, IN 47304-1569
- **Practice address phone:** (765) 288-4882
- **Mailing address:** 1608 W YALE AVE, MUNCIE, IN 47304-1569
- **Mailing address phone:** (765) 288-4882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12011558A | IN | Yes |

## Other

- **Enumeration date:** 07/08/2015
- **Last updated:** 07/08/2015