# WILLIAM D KENFIELD DDS LLC

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

## Provider details

- **NPI number:** 1447501358
- **Authorized official:** DR. WILLIAM D KENFIELD DDS LLC (MEMBER)
- **Authorized official phone:** (812) 829-4886

## Contact information

- **Practice address:** 77 FAIRVIEW AVE, SPENCER, IN 47460-1513
- **Practice address phone:** (812) 829-4886
- **Practice address fax:** (812) 829-4686
- **Mailing address:** 77 FAIRVIEW AVE, SPENCER, IN 47460-1513
- **Mailing address phone:** (812) 829-4886
- **Mailing address fax:** (812) 829-4686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12007873 | IN | Yes |

## Other

- **Enumeration date:** 10/02/2012
- **Last updated:** 10/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100195260A | — | IN |