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KENTUCKIANA PEDIATRIC DENTISTRY
NPI 1851785877
Dentist - Pediatric Dentistry in Mt Washington, KY

Active since March 27, 2015
211 HIGH POINT CT STE 500, MT WASHINGTON, KY 40047(502) 538-2400(502) 538-2403 Get Directions Write a Review

NPPES record last updated: March 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kentuckiana Pediatric Dentistry NPPES

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

KENTUCKIANA PEDIATRIC DENTISTRY (NPI 1851785877) is a healthcare organization registered as a pediatric dentistry in Mt Washington, Kentucky and active in the NPI registry since March 2015. The organization lists Jonathan Tyler Simms, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1851785877
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKENTUCKIANA PEDIATRIC DENTISTRY
Location Address211 HIGH POINT CT STE 500Mt Washington, KY 40047-5559
Mailing Address211 High Point Ct Ste 500Mt Washington, KY 40047-5559 · (502) 538-2400 · Fax (502) 538-2403
Phone(502) 538-2400
Fax(502) 538-2403
Organization SubpartNo
Authorized OfficialJonathan Tyler SimmsPractice Manager · (502) 538-2400
Enumeration DateMarch 27, 2015
✔ NPI 1851785877 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 · 8111
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.
211 HIGH POINT CT STE 500, Mt Washington, KY 40047
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Other Identifiers 1

Medicaid7100071020KY

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

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

ARROW DENTAL PLLC
Clinic/Center (Dental)
211 HIGH POINT CT STE 500
MT WASHINGTON, KY 40047
Bullitt County (502) 538-2400

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 Kentuckiana Pediatric Dentistry's NPI number?

The NPI number for Kentuckiana Pediatric Dentistry is 1851785877. It was assigned to this organization in the NPPES registry on March 27, 2015.

Where is Kentuckiana Pediatric Dentistry located?

Kentuckiana Pediatric Dentistry is located at 211 High Point Ct Ste 500, Mt Washington, KY 40047. The listed phone number is (502) 538-2400.

What is Kentuckiana 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 Kentuckiana Pediatric Dentistry was last updated on March 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.