Danville Pediatric Dentistry, Psc
LBN: Danville Pediatric Dentistry, Psc
Danville Pediatric Dentistry, Psc is an health care organization with primary practice located at 1080 Ben Ali Dr Suite A, Danville KY 40422-8937. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is the primary health care specialty.
Danville Pediatric Dentistry, Psc can be contacted via phone (859) 236-6900, or through Johnson, Jeffrey T via phone (859) 236-6900.
Contact Information
Primary practice address
1080 Ben Ali Dr Suite A
Danville KY 40422-8937
Phone: (859) 236-6900
Fax: (859) 236-6997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7737 | Kentucky |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 7737 | Kentucky |
Profile Details
| NPI number | 1760772230 |
|---|---|
| LBN Legal business name | Danville Pediatric Dentistry, Psc |
| DBA Doing business as | |
| Authorized official | Johnson, Jeffrey T D.M.D.M.PH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 18th, 2011 |
| Last updated | Oct 25th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760772230 | NPPES |
| Kentucky | MEDICAID | 1223P0221X | |
| Kentucky | Other | 1223G0001X |
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