EDGEWOOD DENTAL CARE PSC NPI 1841693033

NPI Information

  • NPI: 1841693033
  • Provider Name: EDGEWOOD DENTAL CARE PSC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 155 BARNWOOD DRIVE
    STE 1
    EDGEWOOD, KY
    ZIP 41017
  • Phone: (859) 331-3400

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NPI Details

EDGEWOOD DENTAL CARE PSC is a general practice dentist in Edgewood, 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. EDGEWOOD DENTAL CARE PSC NPI is 1841693033. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

155 BARNWOOD DRIVE
STE 1
EDGEWOOD, KY
ZIP 41017
Phone: (859) 331-3400
Fax: (859) 331-6429

The provider's authorized official is Kevin Mcmahon .
The authorized official title is Dentist and has the following contact phone number (859) 331-3400.

The enumeration date for this NPI number is 10/1/2014 and was last updated on 10/1/2014.

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 Practice4333KENTUCKYNo
21223G0001XDentistGeneral Practice8628KENTUCKYNo
31223G0001XDentistGeneral Practice9229KENTUCKYNo
41223G0001XDentistGeneral Practice6007KENTUCKYYes

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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