Individual provider · Type 1 NPI
Angel Ray Lopez
Pediatric Dentistry · Elizabethtown, KY
NPI number
1790246015
Active
Practice location
151 Drexler Cir
Elizabethtown, KY 42701-7843
Fax (859) 554-0278
Other practice locations
- 3333 Burnet Ave, Cincinnati, OH 45229-3026 · (513) 636-4641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 30.026059 (OH) |
| General Practice Dentistry | 1223G0001X | 30.026059 (OH) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 10616 (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.
6 other providers at this address
- Andrew Buckles, DMDPediatric Dentistry Elizabethtown, KY NPI 1710617410
- Brett H. Henson, DMDDentist Elizabethtown, KY NPI 1861448094
- Deborah E. Jones, LCSWClinical Social Worker Elizabethtown, KY NPI 1417346420
- Ingrid Medley, ARNPPsychiatric/Mental Health Nurse Practitioner Elizabethtown, KY NPI 1952357774
- Rebecca Chambers, LCSW; CADCClinical Social Worker Elizabethtown, KY NPI 1033366638
- Tracy R. Duvall, LCSWClinical Social Worker Elizabethtown, KY NPI 1063850444
Other pediatric dentistry providers in Elizabethtown
About NPI 1790246015
Angel Ray Lopez's National Provider Identifier is 1790246015, issued on Mar 28, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Elizabethtown, KY. The record was last updated on Jun 8, 2021.