Individual provider · Type 1 NPI
Brent Douglas Kidd, DMD
Pediatric Dentistry · Morehead, KY
NPI number
1255622692
Active
Practice location
1275 Hallwood Drive
Morehead, KY 40351
Fax (606) 784-8004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 9075 (KY) |
| Pediatric Dentistry Primary | 1223P0221X | 9075 (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.
Another provider at this address
About NPI 1255622692
Brent Douglas Kidd, DMD's National Provider Identifier is 1255622692, issued on Apr 19, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Morehead, KY. The record was last updated on Jan 20, 2022.