Pediatric Dental Garden Center

LBN: Pediatric Dental Garden Center
Pediatric Dental Garden Center is an health care organization with primary practice located at 2765 Chapel Pl Ste. 250, Crestview Hills KY 41017-3413. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Pediatric Dental Garden Center can be contacted via phone (859) 344-6200, or through Duval-Austin, Sophie via phone (859) 344-6200.

Contact Information

Primary practice address
2765 Chapel Pl Ste. 250 Crestview Hills KY 41017-3413
Phone: (859) 344-6200
Fax: (859) 344-0980
Website:
Map and Directions
Authorized official contact:
Name: Duval-Austin, Sophie Doctor of Dental Medicine (DMD)
Phone: (859) 344-6200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 8183 Kentucky

Profile Details

NPI number 1285902940
LBN Legal business name Pediatric Dental Garden Center
DBA Doing business as
Authorized official Duval-Austin, Sophie Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2011
Last updated Dec 9th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285902940 NPPES
Kentucky MEDICAID 1316094329

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