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COMMONWEALTH PERIODONTICS & IMPLANT CENTER
NPI 1053767053
Dentist - Periodontics in London, KY

Active since May 09, 2016
1545 S MAIN ST, LONDON, KY 40741(606) 878-1971(606) 864-8774 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Commonwealth Periodontics & Implant Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMONWEALTH PERIODONTICS & IMPLANT CENTER (NPI 1053767053) is a healthcare organization registered as a periodontics in London, Kentucky and active in the NPI registry since May 2016. The organization lists Krista Paul, Financial Coordinator, as its authorized official.

NPPES Registry Identity

NPI1053767053
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCOMMONWEALTH PERIODONTICS & IMPLANT CENTER
Location Address1545 S MAIN STLondon, KY 40741-2071
Mailing Address1545 S Main StLondon, KY 40741-2071 · (606) 878-1971 · Fax (606) 864-8774
Phone(606) 878-1971
Fax(606) 864-8774
Organization SubpartNo
Authorized OfficialKrista PaulFinancial Coordinator · (606) 878-1971
Enumeration DateMay 9, 2016
✔ NPI 1053767053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in KY · 6224
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1545 S MAIN ST, London, KY 40741
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Commonwealth Periodontics & Implant Center's NPI number?

The NPI number for Commonwealth Periodontics & Implant Center is 1053767053. It was assigned to this organization in the NPPES registry on May 9, 2016.

Where is Commonwealth Periodontics & Implant Center located?

Commonwealth Periodontics & Implant Center is located at 1545 S Main St, London, KY 40741. The listed phone number is (606) 878-1971.

What is Commonwealth Periodontics & Implant Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Commonwealth Periodontics & Implant Center was last updated on May 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.