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COLGAN PEDIATRIC DENTISTRY
NPI 1770072860
Dentist - Pediatric Dentistry in Paducah, KY

Active since May 04, 2018
2850 LONE OAK RD STE 1, PADUCAH, KY 42003(270) 554-0124(270) 554-0124 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colgan Pediatric Dentistry NPPES

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

COLGAN PEDIATRIC DENTISTRY (NPI 1770072860) is a healthcare organization registered as a pediatric dentistry in Paducah, Kentucky and active in the NPI registry since May 2018. The organization lists Dana Michelle Walls, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1770072860
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCOLGAN PEDIATRIC DENTISTRY
Location Address2850 LONE OAK RD STE 1Paducah, KY 42003-8043
Mailing Address2850 Lone Oak Rd Ste 1Paducah, KY 42003-8043 · (270) 554-0124 · Fax (270) 554-0124
Phone(270) 554-0124
Fax(270) 554-0124
Organization SubpartNo
Authorized OfficialDana Michelle WallsOffice Manager · (270) 554-3131
Enumeration DateMay 4, 2018
✔ NPI 1770072860 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.
2850 LONE OAK RD STE 1, Paducah, KY 42003
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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. JOHN ANTHONY COLGAN JR. D.M.D
Dentist (Pediatric Dentistry)
2850 LONE OAK RD STE 1
PADUCAH, KY 42003
McCracken County (270) 554-5437
DR. JUSTIN COLGAN DMD
Dentist (Pediatric Dentistry)
2850 LONE OAK RD STE 1
PADUCAH, KY 42003
McCracken County (270) 554-3131

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 Colgan Pediatric Dentistry's NPI number?

The NPI number for Colgan Pediatric Dentistry is 1770072860. It was assigned to this organization in the NPPES registry on May 4, 2018.

Where is Colgan Pediatric Dentistry located?

Colgan Pediatric Dentistry is located at 2850 Lone Oak Rd Ste 1, Paducah, KY 42003. The listed phone number is (270) 554-0124.

What is Colgan Pediatric Dentistry'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 Colgan Pediatric Dentistry was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.