KIDS DENTISTREE - BRECKENRIDGE
NPI 1407341258
Dentist - Pediatric Dentistry in Louisville, KY

Q: What is Kids Dentistree Of Ky, LLC's NPI number?

The NPI number for Kids Dentistree Of Ky, LLC is 1407341258. It was assigned to this organization in the NPPES registry on June 25, 2018. The provider is doing business as Kids Dentistree - Breckenridge.

Q: What is Kids Dentistree Of Ky, LLC's specialty?

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

Active since June 25, 2018

3101 BRECKENRIDGE LN STE 4B, LOUISVILLE, KY 40220(502) 451-1020(502) 451-9339 Get Directions Write a Review

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kids Dentistree - Breckenridge NPPES

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

KIDS DENTISTREE - BRECKENRIDGE (NPI 1407341258) is a healthcare organization registered as a pediatric dentistry in Louisville, Kentucky and active in the NPI registry since June 2018. The organization lists Stephen James, Cfo, as its authorized official.

NPPES Registry Identity

NPI1407341258

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameKIDS DENTISTREE OF KY, LLC

Location Address3101 BRECKENRIDGE LN STE 4BLouisville, KY 40220-2797

Mailing AddressPo Box 437169Louisville, KY 40253-7169

Phone(502) 451-1020

Fax(502) 451-9339

Organization SubpartNo

Authorized OfficialStephen JamesCfo · (502) 254-8500

Enumeration DateJune 25, 2018

✔ NPI 1407341258 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.

3101 BRECKENRIDGE LN STE 4B, Louisville, KY 40220

Open in Google Maps ↗

Other Names 1

Doing Business AsKids Dentistree - Breckenridge

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.

MYRON F SHUSTER DMD PSC

Dentist (Pediatric Dentistry)

3101 BRECKENRIDGE LN STE 4B
LOUISVILLE, KY 40220

Jefferson County (502) 451-1020

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 Kids Dentistree Of Ky, LLC's NPI number?

The NPI number for Kids Dentistree Of Ky, LLC is 1407341258. It was assigned to this organization in the NPPES registry on June 25, 2018. The provider is doing business as Kids Dentistree - Breckenridge.

Where is Kids Dentistree Of Ky, LLC located?

Kids Dentistree Of Ky, LLC is located at 3101 Breckenridge Ln Ste 4B, Louisville, KY 40220. The listed phone number is (502) 451-1020.

What is Kids Dentistree Of Ky, 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 Kids Dentistree Of Ky, LLC was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.