SRIVIDYA PRABHU DMD NPI 1477033371

NPI Information

  • NPI: 1477033371
  • Provider Name: SRIVIDYA PRABHU, DMD
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 201 MARTHA LAYNE COLLINS BLVD STE B
    COLD SPRING, KY
    ZIP 41076
  • Phone: (859) 441-4805

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NPI Details

Srividya Prabhu, DMD is a periodontics dentist in Cold Spring, KY. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Srividya Prabhu, DMD NPI is 1477033371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

201 MARTHA LAYNE COLLINS BLVD STE B
COLD SPRING, KY
ZIP 41076-750
Phone: (859) 441-4805

The NPI 1477033371 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/20/2018 and was last updated on 3/1/2023.

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
11223P0300XDentistPeriodontics10726KENTUCKYYes

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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