JEFFERSONVILLE PEDIATRIC DENTISTRY LLC
NPI 1548917982
Dentist - Pediatric Dentistry in Jeffersonville, IN

Q: What is Jeffersonville Pediatric Dentistry LLC's specialty?

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

Active since March 06, 2022

2929 CHARLESTOWN PIKE, JEFFERSONVILLE, IN 47130(502) 994-0389 Get Directions Write a Review

NPPES record last updated: March 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jeffersonville Pediatric Dentistry Llc NPPES

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

JEFFERSONVILLE PEDIATRIC DENTISTRY LLC (NPI 1548917982) is a healthcare organization registered as a pediatric dentistry in Jeffersonville, Indiana and active in the NPI registry since March 2022. The organization lists Porchusa Larai Combs, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1548917982

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameJEFFERSONVILLE PEDIATRIC DENTISTRY LLC

Location Address2929 CHARLESTOWN PIKEJeffersonville, IN 47130-8199

Mailing Address702 Park Creek CirLouisville, KY 40245-6241 · (502) 994-0389

Phone(502) 994-0389

Organization SubpartNo

Authorized OfficialPorchusa Larai CombsPediatric Dentist · (502) 994-0389

Enumeration DateMarch 6, 2022

NPPES CertifiedMarch 6, 2022

✔ NPI 1548917982 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.

2929 CHARLESTOWN PIKE, Jeffersonville, IN 47130

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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

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance.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 Jeffersonville Pediatric Dentistry LLC's NPI number?

The NPI number for Jeffersonville Pediatric Dentistry LLC is 1548917982. It was assigned to this organization in the NPPES registry on March 6, 2022.

Where is Jeffersonville Pediatric Dentistry LLC located?

Jeffersonville Pediatric Dentistry LLC is located at 2929 Charlestown Pike, Jeffersonville, IN 47130. The listed phone number is (502) 994-0389.

What is Jeffersonville Pediatric Dentistry LLC's specialty?

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

What insurance does Jeffersonville Pediatric Dentistry LLC accept?

Health plans from DentaQuest USA Insurance list Jeffersonville Pediatric Dentistry LLC 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 Jeffersonville Pediatric Dentistry LLC was last updated on March 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.