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: August 16, 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

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

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 Kentucky Tongue-Tie Center LLC's NPI number?

The NPI number for Kentucky Tongue-Tie Center LLC is 1629828470. It was assigned to this organization in the NPPES registry on March 25, 2024.

Where is Kentucky Tongue-Tie Center LLC located?

Kentucky Tongue-Tie Center LLC is located at 6400 Westwind Way Ste C, Crestwood, KY 40014. The listed phone number is (502) 754-1607.

What is Kentucky Tongue-Tie Center 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 Kentucky Tongue-Tie Center LLC was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.