Provider Type Icon

KIDS DENTISTREE - SHEPHERDSVILLE PLLC NPI 1023496676


NPI Information

NPI: 1023496676
Provider Name: KIDS DENTISTREE - SHEPHERDSVILLE, PLLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1779 HIGHWAY 44 E
SUITE 200
SHEPHERDSVILLE, KY
ZIP 40165
Phone: (502) 281-4860
Get Directions

KIDS DENTISTREE - SHEPHERDSVILLE, PLLC is a pediatric dentistry dentist in Shepherdsville, KY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. KIDS DENTISTREE - SHEPHERDSVILLE, PLLC NPI is 1023496676. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1779 HIGHWAY 44 E
SUITE 200
SHEPHERDSVILLE, KY
ZIP 40165-132
Phone: (502) 281-4860
Fax: (502) 883-6995

The provider's authorized official is Stephen James .
The authorized official title is Cfo and has the following contact phone number (502) 254-8500.

The enumeration date for this NPI number is 5/15/2015 and was last updated on 5/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.