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PEDIATRIC DENTISTRY OF SHELBYVILLE
NPI 1770748790
Dentist - Pediatric Dentistry in Shelbyville, KY

Active since July 21, 2008
141 STONECREST RD, SHELBYVILLE, KY 40065(502) 633-4441(502) 633-4470 Get Directions Write a Review

NPPES record last updated: October 8, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dentistry Of Shelbyville NPPES

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

PEDIATRIC DENTISTRY OF SHELBYVILLE (NPI 1770748790) is a healthcare organization registered as a pediatric dentistry in Shelbyville, Kentucky and active in the NPI registry since July 2008. The organization lists Amy E Raisor, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1770748790
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF SHELBYVILLE
Location Address141 STONECREST RDShelbyville, KY 40065-8164
Mailing Address141 Stonecrest RdShelbyville, KY 40065-8164 · (502) 633-4441 · Fax (502) 633-4470
Phone(502) 633-4441
Fax(502) 633-4470
Organization SubpartNo
Authorized OfficialAmy E RaisorOffice Manager · (502) 633-4441
Enumeration DateJuly 21, 2008
Last NPPES UpdateOctober 8, 2009
✔ NPI 1770748790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in KY · 7601
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 ListedDentist · General PracticeTaxonomy 1223G0001X · License 7277 (KY)
141 STONECREST RD, Shelbyville, KY 40065
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAX PERFORMANCE PHYSICAL THERAPY AND SPORTS REHAB, LLC
Physical Therapist
141 STONECREST RD, UNIT 2
SHELBYVILLE, KY 40065
Shelby County (502) 647-0133
DR. KIRBY CHAMBERS HOETKER DMD
Dentist (Pediatric Dentistry)
141 STONECREST RD
SHELBYVILLE, KY 40065
Shelby County (502) 633-4441
MRS. LORI ENGLAND
Physical Therapist
141 STONECREST RD, UNIT 2
SHELBYVILLE, KY 40065
Shelby County (502) 647-0133
MISS ALICE BARTON CREQUE
Physical Therapist
141 STONECREST RD, UNIT 2
SHELBYVILLE, KY 40065
Shelby County (502) 647-0133

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 Dentistry Of Shelbyville's NPI number?

The NPI number for Pediatric Dentistry Of Shelbyville is 1770748790. It was assigned to this organization in the NPPES registry on July 21, 2008.

Where is Pediatric Dentistry Of Shelbyville located?

Pediatric Dentistry Of Shelbyville is located at 141 Stonecrest Rd, Shelbyville, KY 40065. The listed phone number is (502) 633-4441.

What is Pediatric Dentistry Of Shelbyville'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 Dentistry Of Shelbyville was last updated on October 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.