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KENTUCKIANA PEDS DRE LLC
NPI 1093580219
Dentist - Pediatric Dentistry in Mt Washington, KY

Active since November 17, 2023
211 HIGH POINT CT STE 200, MT WASHINGTON, KY 40047(502) 538-2400 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kentuckiana Peds Dre Llc NPPES

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

KENTUCKIANA PEDS DRE LLC (NPI 1093580219) is a healthcare organization registered as a pediatric dentistry in Mt Washington, Kentucky and active in the NPI registry since November 2023. The organization lists Elizabeth Davis, Director Of Revenue, as its authorized official.

NPPES Registry Identity

NPI1093580219
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKENTUCKIANA PEDS DRE LLC
Location Address211 HIGH POINT CT STE 200Mt Washington, KY 40047-5528
Mailing Address105 Spruce StLexington, KY 40507-2109
Phone(502) 538-2400
Organization SubpartNo
Authorized OfficialElizabeth DavisDirector Of Revenue · (859) 533-1109
Enumeration DateNovember 17, 2023
NPPES CertifiedNovember 17, 2023
✔ NPI 1093580219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
211 HIGH POINT CT STE 200, Mt Washington, KY 40047
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Kentuckiana Peds Dre LLC's NPI number?

The NPI number for Kentuckiana Peds Dre LLC is 1093580219. It was assigned to this organization in the NPPES registry on November 17, 2023.

Where is Kentuckiana Peds Dre LLC located?

Kentuckiana Peds Dre LLC is located at 211 High Point Ct Ste 200, Mt Washington, KY 40047. The listed phone number is (502) 538-2400.

What is Kentuckiana Peds Dre LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Kentuckiana Peds Dre LLC accept?

Health plans from UnitedHealthcare list Kentuckiana Peds Dre LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kentuckiana Peds Dre LLC was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.