Organization · Type 2 NPI

Kids Dentistree of Ky LLC

Pediatric Dentistry · Georgetown, KY

NPI number 1497386049 Active

Practice location

1508 Oxford Dr
Georgetown, KY 40324-9266

Call (502) 254-8500 Map

Mailing address

PO Box 437169
Louisville, KY 40253-7169

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None listed

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.

4 other providers at this address

Other pediatric dentistry providers in Georgetown

Dentistry for ChildrenPediatric Dentistry Georgetown, KY NPI 1083807945

See all in Georgetown →

NPI record

NPI: 1497386049
Entity type: Organization (Type 2)
Issued: Feb 3, 2020
Last updated: Sep 6, 2023
Status: Active
Subpart: Yes of Kids Dentistree of Ky LLC

Other names

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Kids Dentistree - Georgetown · doing business as
Kids Dentistree - Georgetown · doing business as

Authorized official

Jeff Reibel
CFO
(502) 254-8500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497386049

Kids Dentistree of Ky LLC's National Provider Identifier is 1497386049, issued on Feb 3, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Georgetown, KY. The record was last updated on Sep 6, 2023.