KENTUCKY TONGUE-TIE CENTER LLC
NPI 1629828470
Dentist - Pediatric Dentistry in Crestwood, KY

Active since March 25, 2024
6400 WESTWIND WAY STE C, CRESTWOOD, KY 40014(502) 754-1607(859) 207-5102 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kentucky Tongue-tie Center Llc NPPES

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

KENTUCKY TONGUE-TIE CENTER LLC (NPI 1629828470) is a healthcare organization registered as a pediatric dentistry in Crestwood, Kentucky and active in the NPI registry since March 2024. The organization lists Austin Rodenberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1629828470
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKENTUCKY TONGUE-TIE CENTER LLC
Location Address6400 WESTWIND WAY STE CCrestwood, KY 40014-6773
Mailing Address934 Woodland Ridge CirLa Grange, KY 40031-1373 · (502) 754-6633
Fax(859) 207-5102
Organization SubpartNo
Authorized OfficialAustin RodenbergOwner · (270) 572-9309
Enumeration DateMarch 25, 2024
Last NPPES UpdateMarch 18, 2025
NPPES CertifiedMarch 18, 2025
NPI 1629828470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X
6400 WESTWIND WAY STE C, Crestwood, KY 40014

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

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
6400 WESTWIND WAY STE C
CRESTWOOD, KY 40014
Dentist (Pediatric Dentistry)
6400 WESTWIND WAY STE C
CRESTWOOD, KY 40014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629828470, enumerated as an "organization" on March 25, 2024.

The provider is located at 6400 WESTWIND WAY STE C CRESTWOOD, KY 40014 and the phone number is (502) 754-1607.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.