| Kentuckiana Pediatric Dentistry | |
|
211 High Point Ct Ste 500 Mt Washington KY 40047-5559 | |
| (502) 538-2400 | |
| (502) 538-2403 |
| Full Name | Kentuckiana Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 211 High Point Ct Ste 500, Mt Washington, Kentucky |
| Authorized Official Name and Position | Jonathan Tyler Simms (PRACTICE MANAGER) |
| Authorized Official Contact | 5025382400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentuckiana Pediatric Dentistry 211 High Point Ct Ste 500 Mt Washington KY 40047-5559 Ph: (502) 538-2400 | Kentuckiana Pediatric Dentistry 211 High Point Ct Ste 500 Mt Washington KY 40047-5559 Ph: (502) 538-2400 |
| NPI Number | 1851785877 |
|---|---|
| Provider Enumeration Date | 03/27/2015 |
| Last Update Date | 03/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851785877 | NPI | - | NPPES |
| 7100071020 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8111 (Kentucky) | Primary |
Kentuckiana Peds Dre Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 High Point Ct Ste 200, Mt Washington, KY 40047 Phone: 502-538-2400 | |
Arrow Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 High Point Ct Ste 500, Mt Washington, KY 40047 Phone: 502-538-2400 | |
Joseph Geraci Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10224 Highway 44 E, Mt Washington, KY 40047 Phone: 502-538-6533 Fax: 502-538-0007 | |
Mt Washington Family Dentistry Nita S Isgrigg Dmd, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Village Ln, Mt Washington, KY 40047 Phone: 502-538-3434 |