INNOVATIVE DENTAL HEALTH
NPI 1235615964
Clinic/Center - Dental in Broomall, PA

Active since July 16, 2018
2002 SPROUL RD STE 100, BROOMALL, PA 19008(610) 325-1670 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2021, Mar 5, 2019, Jul 16, 2018 (3 updates tracked since 2018).

About Innovative Dental Health NPPES

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

INNOVATIVE DENTAL HEALTH (NPI 1235615964) is a healthcare organization registered as a dental in Broomall, Pennsylvania and active in the NPI registry since July 2018. The organization lists Kim L Tran, Dentist, as its authorized official.

NPPES Registry Identity

NPI1235615964
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKT DENTAL LLC
Location Address2002 SPROUL RD STE 100Broomall, PA 19008-3510
Mailing Address2002 Sproul Rd Ste 100Broomall, PA 19008-3510 · (610) 325-1670 · Fax (610) 325-1675
Organization SubpartNo
Authorized OfficialKim L TranDentist · (610) 325-1670
Enumeration DateJuly 16, 2018
Last NPPES UpdateJanuary 5, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
NPI 1235615964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2002 SPROUL RD STE 100, Broomall, PA 19008

Other Names 1

Doing Business AsInnovative Dental Health

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
2002 SPROUL RD STE 100
BROOMALL, PA 19008
Dentist (General Practice)
2002 SPROUL RD STE 100
BROOMALL, PA 19008

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 Kt Dental LLC's NPI number?

The NPI number for Kt Dental LLC is 1235615964. It was assigned to this organization in the NPPES registry on July 16, 2018. The provider is doing business as Innovative Dental Health.

Where is Kt Dental LLC located?

Kt Dental LLC is located at 2002 Sproul Rd Ste 100, Broomall, PA 19008. The listed phone number is (610) 325-1670.

What is Kt Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Kt Dental LLC was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.