PEDIATRIC DENTISTRY, PSC
NPI 1487767901
Dentist - Pediatric Dentistry in Ashland, KY

Active since August 17, 2006
2000 CARTER AVE, ASHLAND, KY 41101(606) 329-1440(606) 329-2441 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dentistry, Psc NPPES

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

PEDIATRIC DENTISTRY, PSC (NPI 1487767901) is a healthcare organization registered as a pediatric dentistry in Ashland, Kentucky and active in the NPI registry since August 2006. The organization lists Glenn D Spradlin, President/owner, as its authorized official.

NPPES Registry Identity

NPI1487767901
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY, PSC
Location Address2000 CARTER AVEAshland, KY 41101-7737
Mailing AddressPo Box 1587Ashland, KY 41105-1587 · (606) 329-1440 · Fax (606) 329-2441
Fax(606) 329-2441
Organization SubpartNo
Authorized OfficialGlenn D SpradlinPresident/owner · (606) 329-1440
Enumeration DateAugust 17, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1487767901 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 · 5782
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.
2000 CARTER AVE, Ashland, KY 41101

Other Identifiers 1

Medicaid60057825KY

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

Accepted Insurance

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
2000 CARTER AVE
ASHLAND, KY 41101
Dentist (Pediatric Dentistry)
2000 CARTER AVE
ASHLAND, KY 41101

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 Dentistry, Psc's NPI number?

The NPI number for Pediatric Dentistry, Psc is 1487767901. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is Pediatric Dentistry, Psc located?

Pediatric Dentistry, Psc is located at 2000 Carter Ave, Ashland, KY 41101. The listed phone number is (606) 329-1440.

What is Pediatric Dentistry, Psc's specialty?

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

What insurance does Pediatric Dentistry, Psc accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Pediatric Dentistry, Psc 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 Pediatric Dentistry, Psc was last updated on August 22, 2020. 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.