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
Fax: (859) 236-6997
Website:
Authorized official contact:
Name: Johnson, Jeffrey T D.M.D.M.PH.

Health care specialties

SpecialtyCodeLicense #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 9 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 1760772230 NPPES
Kentucky MEDICAID 1223P0221X
Kentucky Other 1223G0001X

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