Healthy Smiles Family Dental Care, Pllc

LBN: Healthy Smiles Family Dental Care, Pllc
Healthy Smiles Family Dental Care, Pllc is an health care organization with primary practice located at 1927 Irvin Cobb Dr Suite 1, Paducah KY 42003-2105. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Healthy Smiles Family Dental Care, Pllc can be contacted via phone (270) 442-6617, or through Riley, Tiffany Jean via phone (270) 205-8197.

Contact Information

Primary practice address
1927 Irvin Cobb Dr Suite 1 Paducah KY 42003-2105
Fax: (270) 442-0089
Website:
Authorized official contact:
Name: Riley, Tiffany Jean Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8378 Kentucky

Profile Details

NPI number 1790167500
LBN Legal business name Healthy Smiles Family Dental Care, Pllc
DBA Doing business as
Authorized official Riley, Tiffany Jean Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2015
Last updated Jun 29th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790167500 NPPES
Kentucky MEDICAID 7100006580

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