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WISE DENTISTRY FOR KIDS, PSC
NPI 1790075166
Dentist - Pediatric Dentistry in Campbellsville, KY

Active since April 19, 2011
105 MEDICAL PARK DR, SUITE 1, CAMPBELLSVILLE, KY 42718(270) 469-1403(270) 469-1405 Get Directions Write a Review

NPPES record last updated: April 19, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wise Dentistry For Kids, Psc NPPES

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

WISE DENTISTRY FOR KIDS, PSC (NPI 1790075166) is a healthcare organization registered as a pediatric dentistry in Campbellsville, Kentucky and active in the NPI registry since April 2011. The organization lists Heather Wise, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1790075166
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWISE DENTISTRY FOR KIDS, PSC
Location Address105 MEDICAL PARK DR, SUITE 1Campbellsville, KY 42718-9622
Mailing Address105 Medical Park Drive, Suite 1Campbellsville, KY 42718 · (270) 469-1403 · Fax (270) 469-1405
Phone(270) 469-1403
Fax(270) 469-1405
Organization SubpartNo
Authorized OfficialHeather WiseOwner/dentist · (270) 469-1403
Enumeration DateApril 19, 2011
✔ NPI 1790075166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in KY · 8254
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.
105 MEDICAL PARK DR, Campbellsville, KY 42718
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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 MULTIPLE 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. HEATHER HOOD WISE D.M.D
Dentist (Pediatric Dentistry)
105 MEDICAL PARK DR, SUITE #1
CAMPBELLSVILLE, KY 42718
Taylor County (270) 469-1403
ARROW DENTAL PLLC
Clinic/Center (Dental)
105 MEDICAL PARK DR
CAMPBELLSVILLE, KY 42718
Taylor County (270) 469-1403

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 Wise Dentistry For Kids, Psc's NPI number?

The NPI number for Wise Dentistry For Kids, Psc is 1790075166. It was assigned to this organization in the NPPES registry on April 19, 2011.

Where is Wise Dentistry For Kids, Psc located?

Wise Dentistry For Kids, Psc is located at 105 Medical Park Dr Suite 1, Campbellsville, KY 42718. The listed phone number is (270) 469-1403.

What is Wise Dentistry For Kids, 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 Wise Dentistry For Kids, Psc was last updated on April 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.