KENTUCKY DENTAL PROFESSIONALS PSC NPI 1578871877

NPI Information

  • NPI: 1578871877
  • Provider Name: KENTUCKY DENTAL PROFESSIONALS, PSC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: NORTHWEST KENTUCKY DENTAL CENTRE
  • Address: 616 BARRETT BLVD
    HENDERSON, KY
    ZIP 42420
  • Phone: (270) 827-4534

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NPI Details

KENTUCKY DENTAL PROFESSIONALS, PSC is a general practice dentist in Henderson, 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. KENTUCKY DENTAL PROFESSIONALS, PSC NPI is 1578871877. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northwest Kentucky Dental Centre.

The provider's business location address is:

616 BARRETT BLVD
HENDERSON, KY
ZIP 42420-620
Phone: (270) 827-4534
Fax: (270) 827-4503

The provider's authorized official is Pam Hardiek .
The authorized official title is Insurance/credentialing and has the following contact phone number (270) 827-4534.

The enumeration date for this NPI number is 9/21/2010 and was last updated on 9/21/2010.

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 PracticeYes

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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