Look up the most recent NPI and PECOS records

Kenneth Hovden Dds Inc

Dentist

Dental Providers

901 Campus Dr Ste 202, Daly City, CA 94015-4930

PECOS Enrollment

Based on the most recent information from CMS, provider Kenneth Hovden Dds Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1710105838
Provider Type
Organization
Full Name
Kenneth Hovden Dds Inc

Subpart
No
Enumeration Date
4/23/2007
Last Updated
8/22/2020

Contact Information

Practice Location

901 Campus Dr Ste 202, Daly City, CA 94015-4930

(650) 755-6000

Unlisted Fax

Mailing Location

901 Campus Dr Ste 202, Daly City, CA 94015-4930

(650) 755-6000

Unlisted Fax

Authorized Official

Hovden, Kenneth F (President)

(650) 755-6000

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 29772 California

Kenneth Hovden Dds Inc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Zadeh, Arash

Sotto, Hermes Simpelo

Tang, Titus

Baltazar, Rowena B

Calip, Renato Cabasaan

Ortiz, Rey Miranda

Dela Rama, Marjorie Garcia

Belluomini, Paul Emil

Khoury, Vivian Sami

Corvera, Camille S