Organization · Type 2 NPI

Pediatric Dentisty of Prospect, PSC

Pediatric Dentistry · Prospect, KY

NPI number 1699583773 Active

Practice location

12927 W Highway 42
Prospect, KY 40059-9107

Fax (502) 292-1194

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone 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.

2 other providers at this address

About NPI 1699583773

Pediatric Dentisty of Prospect, PSC's National Provider Identifier is 1699583773, issued on Dec 20, 2024. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Prospect, KY. The record was last updated on Dec 20, 2024.