BOURBON FAMILY DENTISTRY NPI 1396801395

NPI Information

  • NPI: 1396801395
  • Provider Name: BOURBON FAMILY DENTISTRY
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 4223 A LEXINGTON RD
    PARIS, KY
    ZIP 40361
  • Phone: (859) 988-0308

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NPI Details

BOURBON FAMILY DENTISTRY is a general practice dentist in Paris, 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. BOURBON FAMILY DENTISTRY NPI is 1396801395. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4223 A LEXINGTON RD
PARIS, KY
ZIP 40361
Phone: (859) 988-0308
Fax: (859) 988-0310

The provider's authorized official is Marion Susanne Kollahsadeh .
The authorized official title is Dentist Owner and has the following contact phone number (859) 988-0308.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/22/2020.

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
11223G0001XDentistGeneral Practice7770KYKENTUCKYYes

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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