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HENDERSON CHILDREN'S DENTISTRY, LLC
NPI 1144916941
Dentist - Pediatric Dentistry in Henderson, KY

Active since April 14, 2023
700 BARRET BLVD STE A, HENDERSON, KY 42420(270) 827-5522(270) 827-8272 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Henderson Children's Dentistry, Llc NPPES

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

HENDERSON CHILDREN'S DENTISTRY, LLC (NPI 1144916941) is a healthcare organization registered as a pediatric dentistry in Henderson, Kentucky and active in the NPI registry since April 2023. The organization lists Brad Fulkerson, Member/owner, as its authorized official.

NPPES Registry Identity

NPI1144916941
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameHENDERSON CHILDREN'S DENTISTRY, LLC
Location Address700 BARRET BLVD STE AHenderson, KY 42420-7526
Mailing AddressPo Box 276Henderson, KY 42419-0276 · (270) 827-5522 · Fax (270) 827-8272
Phone(270) 827-5522
Fax(270) 827-8272
Organization SubpartNo
Authorized OfficialBrad FulkersonMember/owner · (270) 827-5522
Enumeration DateApril 14, 2023
NPPES CertifiedApril 14, 2023
✔ NPI 1144916941 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.

700 BARRET BLVD STE A, Henderson, KY 42420
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Other Names 1

Doing Business AsHenderson Children's Dentistry, Llc

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAYLEE DUNCAN ERVIN DMD
Dentist (Pediatric Dentistry)
700 BARRET BLVD STE A
HENDERSON, KY 42420
Henderson County (270) 827-5522

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 Henderson Children's Dentistry, LLC's NPI number?

The NPI number for Henderson Children's Dentistry, LLC is 1144916941. It was assigned to this organization in the NPPES registry on April 14, 2023.

Where is Henderson Children's Dentistry, LLC located?

Henderson Children's Dentistry, LLC is located at 700 Barret Blvd Ste A, Henderson, KY 42420. The listed phone number is (270) 827-5522.

What is Henderson Children's Dentistry, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Henderson Children's Dentistry, LLC was last updated on April 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.