Provider Demographics
NPI:1326236845
Name:STOKES, KAINE KENNETH SWENSON (DDS)
Entity type:Individual
Prefix:DR
First Name:KAINE
Middle Name:KENNETH SWENSON
Last Name:STOKES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3229 BRANDON AVE SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-1547
Mailing Address - Country:US
Mailing Address - Phone:540-362-5900
Mailing Address - Fax:
Practice Address - Street 1:3229 BRANDON AVE SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-1547
Practice Address - Country:US
Practice Address - Phone:540-362-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04380003651223S0112X
VA04014153511223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery