Pediatric Dentistry Of Hamburg

LBN: Pediatric Dentistry Of Hamburg
Pediatric Dentistry Of Hamburg is an health care organization with primary practice located at 2517 Sir Barton Way Suite #200, Lexington KY 40509-2275. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Pediatric Dentistry Of Hamburg can be contacted via phone (859) 543-2456, or through Jackson, Rodney Allen via phone (859) 543-2456.

Contact Information

Primary practice address
2517 Sir Barton Way Suite #200 Lexington KY 40509-2275
Phone: (859) 543-2456
Fax: (859) 543-2373
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Rodney Allen Doctor of Dental Medicine (DMD)
Phone: (859) 543-2456

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1790992220
LBN Legal business name Pediatric Dentistry Of Hamburg
DBA Doing business as
Authorized official Jackson, Rodney Allen Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1790992220 NPPES
Kentucky MEDICAID 60004041
Kentucky MEDICAID 60002201

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