Modern Kids Dentistry

LBN: Modern Kids Dentistry
Modern Kids Dentistry is an health care organization with primary practice located at 4384 Clearwater Way Suite 150, Lexington KY 40515-6477. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Modern Kids Dentistry can be contacted via phone (859) 321-7051, or through Raybould, Justin Michael via phone (859) 321-7051.

Contact Information

Primary practice address
4384 Clearwater Way Suite 150 Lexington KY 40515-6477
Phone: (859) 321-7051
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Raybould, Justin Michael Doctor of Dental Medicine (DMD)
Phone: (859) 321-7051

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 8732 Kentucky

Profile Details

NPI number 1174912224
LBN Legal business name Modern Kids Dentistry
DBA Doing business as
Authorized official Raybould, Justin Michael Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2015
Last updated Apr 13th, 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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