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PREMIER DENTAL
NPI 1104103548
Dentist in London, KY

Active since November 14, 2011
39 WACO DR, LONDON, KY 40741(606) 877-3002(606) 877-3024 Get Directions Write a Review

NPPES record last updated: November 14, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Premier Dental NPPES

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

PREMIER DENTAL (NPI 1104103548) is a healthcare organization registered as a dentist in London, Kentucky and active in the NPI registry since November 2011. The organization lists Terri Brown, Dentist, as its authorized official.

NPPES Registry Identity

NPI1104103548
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePREMIER DENTAL
Location Address39 WACO DRLondon, KY 40741-8327
Mailing Address39 Waco DrLondon, KY 40741-8327 · (606) 877-3002 · Fax (606) 877-3024
Phone(606) 877-3002
Fax(606) 877-3024
Organization SubpartNo
Authorized OfficialTerri BrownDentist · (606) 877-3002
Enumeration DateNovember 14, 2011
✔ NPI 1104103548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in KY · 7672
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
39 WACO DR, London, KY 40741
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Other Identifiers 1

Medicaid71000889KY

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 Premier Dental's NPI number?

The NPI number for Premier Dental is 1104103548. It was assigned to this organization in the NPPES registry on November 14, 2011.

Where is Premier Dental located?

Premier Dental is located at 39 Waco Dr, London, KY 40741. The listed phone number is (606) 877-3002.

What is Premier Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Premier Dental was last updated on November 14, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.