LAKE CUMBERLAND PEDIATRIC DENTISTRY
NPI 1073099792
Dentist - Pediatric Dentistry in Somerset, KY

Active since July 16, 2018
100 HARDIN LN STE A, SOMERSET, KY 42503(859) 421-7838 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Pediatric Dentistry

About LAKE CUMBERLAND PEDIATRIC DENTISTRY

This page provides the complete NPI Profile along with additional information for Lake Cumberland Pediatric Dentistry, a provider established in Somerset, Kentucky operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1073099792 assigned on July 2018. The practitioner's primary taxonomy code is 1223P0221X with license number 9333 (KY). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Angela Davidson Gabbard Dmd (Pediatric Dentist)

NPI
1073099792 Verify this NPI
Provider Name
LAKE CUMBERLAND PEDIATRIC DENTISTRY
Entity Type
Organization
Location Address
100 HARDIN LN STE A SOMERSET, KY 42503
Location Phone
(859) 421-7838
Mailing Address
100 HARDIN LN STE A SOMERSET, KY 42503
Mailing Phone
(606) 425-5504
Mailing Fax
(606) 425-5804
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-16-2018
Last Update Date
02-12-2024
Code Navigator

A dentist like Lake Cumberland Pediatric Dentistry is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
9333
License State
KY
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ANGELA DAVIDSON GABBARD DMD

Authorized Official Title
PEDIATRIC DENTIST
Authorized Official Phone
(859) 421-7838

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
100 HARDIN LN STE A
SOMERSET, KY 42503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073099792, enumerated as an "organization" on July 16, 2018.

The provider is located at 100 HARDIN LN STE A SOMERSET, KY 42503 and the phone number is (859) 421-7838.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.