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PEDIATRIC DENTISTY OF PROSPECT, PSC
NPI 1699583773
Dentist - Pediatric Dentistry in Prospect, KY

Active since December 20, 2024
12927 W HIGHWAY 42, PROSPECT, KY 40059(502) 292-1160(502) 292-1194 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Dentisty Of Prospect, Psc NPPES

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

PEDIATRIC DENTISTY OF PROSPECT, PSC (NPI 1699583773) is a healthcare organization registered as a pediatric dentistry in Prospect, Kentucky and active in the NPI registry since December 2024. The organization lists Danielle M Haman-smith, President, as its authorized official.

NPPES Registry Identity

NPI1699583773
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTY OF PROSPECT, PSC
Location Address12927 W HIGHWAY 42Prospect, KY 40059-9107
Mailing Address12927 W Highway 42Prospect, KY 40059-9107 · (502) 292-1160 · Fax (502) 292-1194
Phone(502) 292-1160
Fax(502) 292-1194
Organization SubpartNo
Authorized OfficialDanielle M Haman-smithPresident · (502) 292-1160
Enumeration DateDecember 20, 2024
NPPES CertifiedDecember 20, 2024
✔ NPI 1699583773 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.

12927 W HIGHWAY 42, Prospect, KY 40059
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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

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. JEFFREY GALE CRENSHAW DMD
Dentist (Pediatric Dentistry)
12927 W HIGHWAY 42
PROSPECT, KY 40059
Jefferson County (502) 292-1160
DR. DANIELLE HAMAN-SMITH DMD
Dentist (Pediatric Dentistry)
12927 W HIGHWAY 42
PROSPECT, KY 40059
Jefferson County (502) 292-1160

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 Dentisty Of Prospect, Psc's NPI number?

The NPI number for Pediatric Dentisty Of Prospect, Psc is 1699583773. It was assigned to this organization in the NPPES registry on December 20, 2024.

Where is Pediatric Dentisty Of Prospect, Psc located?

Pediatric Dentisty Of Prospect, Psc is located at 12927 W Highway 42, Prospect, KY 40059. The listed phone number is (502) 292-1160.

What is Pediatric Dentisty Of Prospect, Psc'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 Pediatric Dentisty Of Prospect, Psc was last updated on December 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.