MODERN KIDS DENTISTRY OF ELIZABETHTOWN, PLLC
NPI 1285299149
Dentist - Pediatric Dentistry in Elizabethtown, KY

Q: What is Modern Kids Dentistry Of Elizabethtown, PLLC's specialty?

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

Active since May 07, 2019

151 DREXLER CIR # A, ELIZABETHTOWN, KY 42701(859) 608-1579 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Modern Kids Dentistry Of Elizabethtown, Pllc NPPES

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

MODERN KIDS DENTISTRY OF ELIZABETHTOWN, PLLC (NPI 1285299149) is a healthcare organization registered as a pediatric dentistry in Elizabethtown, Kentucky and active in the NPI registry since May 2019. The organization lists Justin Michael Raybould, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1285299149

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameMODERN KIDS DENTISTRY OF ELIZABETHTOWN, PLLC

Location Address151 DREXLER CIR # AElizabethtown, KY 42701-7843

Mailing AddressPo Box 23293Lexington, KY 40523-3293 · (859) 321-7051

Phone(859) 608-1579

Organization SubpartNo

Authorized OfficialJustin Michael RaybouldOwner/manager · (859) 321-7051

Enumeration DateMay 7, 2019

✔ NPI 1285299149 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.

151 DREXLER CIR # A, Elizabethtown, KY 42701

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Other Identifiers 1

Medicaid7100342680KY

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 MULTIPLE 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 Modern Kids Dentistry Of Elizabethtown, PLLC's NPI number?

The NPI number for Modern Kids Dentistry Of Elizabethtown, PLLC is 1285299149. It was assigned to this organization in the NPPES registry on May 7, 2019.

Where is Modern Kids Dentistry Of Elizabethtown, PLLC located?

Modern Kids Dentistry Of Elizabethtown, PLLC is located at 151 Drexler Cir # A, Elizabethtown, KY 42701. The listed phone number is (859) 608-1579.

What is Modern Kids Dentistry Of Elizabethtown, PLLC's specialty?

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

What insurance does Modern Kids Dentistry Of Elizabethtown, PLLC accept?

Health plans from UnitedHealthcare list Modern Kids Dentistry Of Elizabethtown, PLLC 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 Modern Kids Dentistry Of Elizabethtown, PLLC was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.