PEDIATRIC DENTISTRY OF OWENSBORO NPI 1760759831

NPI Information

NPI: 1760759831
Provider Name: PEDIATRIC DENTISTRY OF OWENSBORO
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
2200 E PARRISH AVE
C-202
OWENSBORO, KY
ZIP 42303
Phone: (270) 683-7447
Get Directions

PEDIATRIC DENTISTRY OF OWENSBORO is a pediatric dentistry dentist in Owensboro, 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. PEDIATRIC DENTISTRY OF OWENSBORO NPI is 1760759831. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2200 E PARRISH AVE
C-202
OWENSBORO, KY
ZIP 42303-449
Phone: (270) 683-7447

The provider's authorized official is James P. Crews .
The authorized official title is Dmd/owner and has the following contact phone number (270) 683-7447.

The enumeration date for this NPI number is 11/17/2011 and was last updated on 11/17/2011.

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
1	1223P0221X	Dentist	Pediatric Dentistry	7748	KENTUCKY	Yes

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
1	60002078	MEDICAID	KENTUCKY

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

NPI Synchronization or Removal

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