FOUNDATIONAL DENTAL LIMITED LIABILITY COMPANY
NPI 1306629050
Clinic/Center - Dental in Lexington, KY

Active since August 16, 2023
180 PROSPEROUS PL STE 101, LEXINGTON, KY 40509(270) 339-4583 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Foundational Dental Limited Liability Company NPPES

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

FOUNDATIONAL DENTAL LIMITED LIABILITY COMPANY (NPI 1306629050), doing business as Eagle Creek Dental Associates, is a healthcare organization registered as a dental in Lexington, Kentucky and active in the NPI registry since August 2023. The organization lists Ryan Glenn White, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1306629050
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFOUNDATIONAL DENTAL LIMITED LIABILITY COMPANY
Location Address180 PROSPEROUS PL STE 101Lexington, KY 40509-1845
Mailing Address180 Prosperous Pl Ste 101Lexington, KY 40509-1845 · (270) 339-4583
Organization SubpartNo
Authorized OfficialRyan Glenn WhiteManaging Member · (270) 339-4583
Enumeration DateAugust 16, 2023
NPPES CertifiedAugust 16, 2023
NPI 1306629050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
180 PROSPEROUS PL STE 101, Lexington, KY 40509

Other Names 1

Doing Business AsEagle Creek Dental Associates

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)
180 PROSPEROUS PL STE 101
LEXINGTON, KY 40509
Dentist (General Practice)
180 PROSPEROUS PL STE 101
LEXINGTON, KY 40509

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 Foundational Dental Limited Liability Company's NPI number?

The NPI number for Foundational Dental Limited Liability Company is 1306629050. It was assigned to this organization in the NPPES registry on August 16, 2023. The provider is doing business as Eagle Creek Dental Associates.

Where is Foundational Dental Limited Liability Company located?

Foundational Dental Limited Liability Company is located at 180 Prosperous Pl Ste 101, Lexington, KY 40509. The listed phone number is (270) 339-4583.

What is Foundational Dental Limited Liability Company'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 Foundational Dental Limited Liability Company was last updated on August 16, 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.