Dental Health Professionals of Kentucky, P.s.c.

NPI #1407744089 in Walton, Kentucky

Provider Information

NPI Number: 1407744089
Entity Type: Organization
Organization Name: Dental Health Professionals of Kentucky, P.s.c.
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
Primary Specialty: Dentist
Enumeration Date: Jun 24, 2025
Last Updated: Jun 24, 2025

Practice Location

Address: 450 RICHWOOD RD STE 305
City: Walton
State: Kentucky
ZIP Code: 41094-7440
Phone: (859) 419-0768

Authorized Official

Name: CEMYIRA MCDOUGAL
Title: CREDENTIALING COORDINATOR
Phone: (217) 764-8609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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