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PEDIATRIC DENTAL CENTER
NPI 1386921526
Dentist - Pediatric Dentistry in Burlington, KY

Active since November 15, 2011
5495 N BEND RD, SUITE 102, BURLINGTON, KY 41005(859) 534-5640(859) 534-5922 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dental Center NPPES

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

PEDIATRIC DENTAL CENTER (NPI 1386921526) is a healthcare organization registered as a pediatric dentistry in Burlington, Kentucky and active in the NPI registry since November 2011. The organization lists Eric M Soper, Owner, as its authorized official.

NPPES Registry Identity

NPI1386921526
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL CENTER
Location Address5495 N BEND RD, SUITE 102Burlington, KY 41005-9378
Mailing Address5495 N Bend Rd, Suite 102Burlington, KY 41005-9378 · (859) 534-5640 · Fax (859) 534-5922
Phone(859) 534-5640
Fax(859) 534-5922
Organization SubpartNo
Authorized OfficialEric M SoperOwner · (859) 534-5640
Enumeration DateNovember 15, 2011
✔ NPI 1386921526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in KY · 736
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.
5495 N BEND RD, Burlington, KY 41005
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Other Identifiers 1

Medicaid60002821KY

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 3

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

DR. DEENA A RASSENFOSS DMD
Dentist (General Practice)
5495 N BEND RD, SUITE 103
BURLINGTON, KY 41005
Boone County (859) 689-9225
DR. ERIC M SOPER DMD
Dentist (Pediatric Dentistry)
5495 N BEND RD, SUITE 102
BURLINGTON, KY 41005
Boone County (859) 534-5640
DR. KEITH ALLAN STOWERS MD
Pediatrics
5495 N BEND RD, SUITE 101
BURLINGTON, KY 41005
Boone County (859) 586-9030

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 Pediatric Dental Center's NPI number?

The NPI number for Pediatric Dental Center is 1386921526. It was assigned to this organization in the NPPES registry on November 15, 2011.

Where is Pediatric Dental Center located?

Pediatric Dental Center is located at 5495 N Bend Rd Suite 102, Burlington, KY 41005. The listed phone number is (859) 534-5640.

What is Pediatric Dental Center'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 Pediatric Dental Center was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.