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DANVILLE PEDIATRIC DENTISTRY PSC NPI 1760772230


NPI Information

NPI: 1760772230
Provider Name: DANVILLE PEDIATRIC DENTISTRY, PSC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1080 BEN ALI DR
SUITE A
DANVILLE, KY
ZIP 40422
Phone: (859) 236-6900
Get Directions

DANVILLE PEDIATRIC DENTISTRY, PSC is a general practice dentist in Danville, 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. DANVILLE PEDIATRIC DENTISTRY, PSC NPI is 1760772230. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1080 BEN ALI DR
SUITE A
DANVILLE, KY
ZIP 40422-937
Phone: (859) 236-6900
Fax: (859) 236-6997

The provider's authorized official is Jeffrey T Johnson .
The authorized official title is Owner and has the following contact phone number (859) 236-6900.

The enumeration date for this NPI number is 4/18/2011 and was last updated on 10/25/2016.


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
11223P0221XDentistPediatric Dentistry7737KENTUCKYNo
21223G0001XDentistGeneral Practice7737KENTUCKYYes

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
11223P0221XMEDICAIDKENTUCKY
21223G0001XOTHERKENTUCKYEPSDT

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: 5/5/2024

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