Dr. Kenneth Demetric Shumate is a Waldorf, Maryland based Dentist who is specialized in
Dentist. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kenneth Demetric Shumate is
14944 for General Practice Dentistry in Maryland. His current practice location is
3010 Crain Hwy, Suite 202, Waldorf. Patients can reach him at
240-518-8928.
Dr. Kenneth Demetric Shumate is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kenneth Demetric Shumate speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Kenneth Demetric Shumate |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3010 Crain Hwy, Suite 202, Waldorf, Maryland, 20601-2801 |
| Phone: | 240-518-8928 |
| Fax: | 240-518-8931 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1417236613 |
| NPI Enumeration Date: | 05 Aug, 2011 |
| NPI Last Update On: | 08 Aug, 2016 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Demetric Shumate are as mentioned below.
| License Number | Specialization | State | Status | |
| 14944 | General Practice Dentistry | Maryland | Primary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
| 0401413457 | General Practice Dentistry | Virginia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenneth Demetric Shumate such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 067013800 | Medicaid | Maryland | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3010 Crain Hwy, Suite 202 Waldorf, Maryland |
| Zip: | 20601-2801 |
| Phone Number: | 240-518-8928 |
| Fax Number: | 240-518-8931 |
Patients can reach Dr. Kenneth Demetric Shumate at
3010 Crain Hwy, Suite 202, Waldorf, Maryland or can
call to book an appointment on 240-518-8928.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.