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PDOS DRE LLC
NPI 1659144285
Dentist - Pediatric Dentistry in Shelbyville, KY

Active since November 06, 2023
141 STONECREST RD STE 1, SHELBYVILLE, KY 40065(502) 633-4441 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pdos Dre Llc NPPES

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

PDOS DRE LLC (NPI 1659144285) is a healthcare organization registered as a pediatric dentistry in Shelbyville, Kentucky and active in the NPI registry since November 2023. The organization lists Elizabeth Davis, Director Of Revenue, as its authorized official.

NPPES Registry Identity

NPI1659144285
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePDOS DRE LLC
Location Address141 STONECREST RD STE 1Shelbyville, KY 40065-8165
Mailing Address105 Spruce StLexington, KY 40507-2109 · (859) 533-1109
Phone(502) 633-4441
Organization SubpartNo
Authorized OfficialElizabeth DavisDirector Of Revenue · (859) 533-1109
Enumeration DateNovember 6, 2023
NPPES CertifiedNovember 6, 2023
✔ NPI 1659144285 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.
141 STONECREST RD STE 1, Shelbyville, KY 40065
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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 Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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.

DR. TIMOTHY ANDREW MCCLAIN D.D.S.
Dentist (Pediatric Dentistry)
141 STONECREST RD STE 1
SHELBYVILLE, KY 40065
Shelby County (502) 633-4441
ARROW DENTAL PLLC
Clinic/Center (Dental)
141 STONECREST RD STE 1
SHELBYVILLE, KY 40065
Shelby County (502) 633-4441

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 Pdos Dre LLC's NPI number?

The NPI number for Pdos Dre LLC is 1659144285. It was assigned to this organization in the NPPES registry on November 6, 2023.

Where is Pdos Dre LLC located?

Pdos Dre LLC is located at 141 Stonecrest Rd Ste 1, Shelbyville, KY 40065. The listed phone number is (502) 633-4441.

What is Pdos Dre LLC's specialty?

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

What insurance does Pdos Dre LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and UnitedHealthcare list Pdos Dre 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 Pdos Dre LLC was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.