PADUCAH PEDIATRIC DENTISTRY PSC NPI 1295740926

NPI Information

  • NPI: 1295740926
  • Provider Name: PADUCAH PEDIATRIC DENTISTRY PSC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Former Legal Business Name: J.D. JOHNSTON PSC
  • Address: 2850 LONE OAK RD
    SUITE 1
    PADUCAH, KY
    ZIP 42003
  • Phone: (270) 554-3131

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NPI Details

PADUCAH PEDIATRIC DENTISTRY PSC is a pediatric dentistry dentist in Paducah, 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. PADUCAH PEDIATRIC DENTISTRY PSC NPI is 1295740926. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is J.d. Johnston Psc.

The provider's business location address is:

2850 LONE OAK RD
SUITE 1
PADUCAH, KY
ZIP 42003-043
Phone: (270) 554-3131
Fax: (270) 554-0124

The provider's authorized official is James Dennis Johnston .
The authorized official title is President and has the following contact phone number (270) 554-3131.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 4/24/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist4218KENTUCKYNo
21223P0221XDentistPediatric Dentistry4218KENTUCKYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
145002524MEDICAIDKENTUCKY
260042181MEDICAIDKENTUCKY

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: 11/21/2025

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