Organization · Type 2 NPI
Elm Pediatric Dentistry of Northern Kentucky PLLC
Pediatric Dentistry · Independence, KY
NPI number
1992505739
Active
Practice location
1986 Walton Nicholson Pike
Independence, KY 41051-7906
Mailing address
934 Woodland Ridge Cir
La Grange, KY 40031-1373
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.
2 other providers at this address
About NPI 1992505739
Elm Pediatric Dentistry of Northern Kentucky PLLC's National Provider Identifier is 1992505739, issued on Mar 18, 2025. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Independence, KY. The record was last updated on Nov 12, 2025.