P Praxis·MD
● Active Type 1 · Individual

DR. Kenneth Anthony Bolin, D.D.S.

Dentist·Dallas, TX· NPI 1255334140 · Enumerated 2005 · 21 years on NPI
Bolin is 1 of 608 dentist providers in Dallas and 1 of 9237 in Texas.
NPI age
21 years
Enumerated 2005-05-24
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-08-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 9237 active dentist providers in Texas.

NPI age
21 years
↑ 9 yr above median (12 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-05Enumerated in NPPES
2005 2026

Where they practice

Practice location
14335 Regency Pl
Dallas, TX 752548509
📞 9727169787fax 9727169787
Mailing address
14335 Regency Pl
Dallas, TX 752548509
📞 9727169787fax 9727169787

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    TX license #12794 taxonomy 122300000X

Identifiers

TypeValueNotes
05 (TX) 1267114-02

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 2 new dentist providers have been added in Dallas in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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