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HEALTHY SMILES FAMILY & COSMETIC DENTISTRY PSC NPI 1194064493


NPI Information

NPI: 1194064493
Provider Name: HEALTHY SMILES FAMILY & COSMETIC DENTISTRY PSC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
83 OAK RIDGE CT
PRESTONSBURG, KY
ZIP 41653
Phone: (606) 886-0300
Get Directions

HEALTHY SMILES FAMILY & COSMETIC DENTISTRY PSC is a general practice dentist in Prestonsburg, KY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. HEALTHY SMILES FAMILY & COSMETIC DENTISTRY PSC NPI is 1194064493. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

83 OAK RIDGE CT
PRESTONSBURG, KY
ZIP 41653-595
Phone: (606) 886-0300
Fax: (606) 886-9334

The provider's authorized official is Misty Dawn Clark .
The authorized official title is Dentist and has the following contact phone number (606) 886-0300.

The enumeration date for this NPI number is 2/6/2013 and was last updated on 2/6/2013.


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
11223G0001XDentistGeneral Practice8481KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100088720MEDICAIDKENTUCKY

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: 4/28/2024

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