Kentuckiana Pediatric Dentistry
NPI #1851785877 in Mt Washington, Kentucky
Provider Information
- NPI Number
- 1851785877
- Entity Type
- Organization
- Organization Name
- Kentuckiana Pediatric Dentistry
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Mar 27, 2015
- Last Updated
- Mar 27, 2015
Practice Location
- Address
- 211 HIGH POINT CT STE 500
- City
- Mt Washington
- State
- Kentucky
- ZIP Code
- 40047-5559
- Phone
- (502) 538-2400
Authorized Official
- Name
- JONATHAN TYLER SIMMS
- Title
- PRACTICE MANAGER
- Phone
- (502) 538-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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