Individual provider · Type 1 NPI

Kelly J. Chrisco, DMD

Pediatric Dentistry · Lexington, KY

NPI number 1104918945 Active

Practice location

4384 Clearwater Way Ste 150
Lexington, KY 40515

Call (859) 317-6810 Map

Other practice locations

  • 800 Rose St, Lexington, KY 40536-0297 · (859) 323-6400

Specialties and licenses

TaxonomyCodeLicense
Public Health Dentistry 1223D0001X8238 (KY)
General Practice Dentistry 1223G0001X8238 (KY)
Pediatric Dentistry Primary 1223P0221X8238 (KY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1104918945

Kelly J. Chrisco, DMD's National Provider Identifier is 1104918945, issued on Sep 29, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lexington, KY. The record was last updated on Sep 18, 2024.