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DANVILLE PEDIATRIC DENTISTRY, PSC
NPI 1760772230
Dentist - General Practice in Danville, KY

Active since April 18, 2011
1080 BEN ALI DR, SUITE A, DANVILLE, KY 40422(859) 236-6900(859) 236-6997 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Danville Pediatric Dentistry, Psc NPPES

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

DANVILLE PEDIATRIC DENTISTRY, PSC (NPI 1760772230) is a healthcare organization registered as a general practice in Danville, Kentucky and active in the NPI registry since April 2011. The organization lists Jeffrey T Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1760772230
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDANVILLE PEDIATRIC DENTISTRY, PSC
Location Address1080 BEN ALI DR, SUITE ADanville, KY 40422-8937
Mailing Address1080 Ben Ali Dr, Suite ADanville, KY 40422-8937 · (859) 236-6900 · Fax (859) 236-6997
Phone(859) 236-6900
Fax(859) 236-6997
Organization SubpartNo
Authorized OfficialJeffrey T JohnsonOwner · (859) 236-6900
Enumeration DateApril 18, 2011
Last NPPES UpdateOctober 25, 2016
✔ NPI 1760772230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 7737
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 7737 (KY)
1080 BEN ALI DR, Danville, KY 40422
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Other Identifiers 2

Medicaid1223P0221XKY
Other1223G0001XKY · Epsdt

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Danville Pediatric Dentistry, Psc's NPI number?

The NPI number for Danville Pediatric Dentistry, Psc is 1760772230. It was assigned to this organization in the NPPES registry on April 18, 2011.

Where is Danville Pediatric Dentistry, Psc located?

Danville Pediatric Dentistry, Psc is located at 1080 Ben Ali Dr Suite A, Danville, KY 40422. The listed phone number is (859) 236-6900.

What is Danville Pediatric Dentistry, Psc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Danville Pediatric Dentistry, Psc was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.