MODERN KIDS DENTISTRY OF NICHOLASVILLE
NPI 1851821854
Dentist - Pediatric Dentistry in Nicholasville, KY

Active since June 13, 2017
611 N MAIN ST, NICHOLASVILLE, KY 40356(859) 759-4428 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 13, 2017 (2 updates tracked since 2017).

About Modern Kids Dentistry Of Nicholasville NPPES

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

MODERN KIDS DENTISTRY OF NICHOLASVILLE (NPI 1851821854) is a healthcare organization registered as a pediatric dentistry in Nicholasville, Kentucky and active in the NPI registry since June 2017. The organization lists Justin Michael Raybould, Manager, as its authorized official.

NPPES Registry Identity

NPI1851821854
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMODERN KIDS DENTISTRY OF NICHOLASVILLE
Location Address611 N MAIN STNicholasville, KY 40356-1025
Mailing Address611 N Main StNicholasville, KY 40356-1025 · (859) 759-4428
Organization SubpartNo
Authorized OfficialJustin Michael RaybouldManager · (859) 321-7051
Enumeration DateJune 13, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1851821854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses Licensed in KY · 8778 Licensed in KY · 8732
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.

611 N MAIN ST, Nicholasville, KY 40356

Other Identifiers 2

Medicaid7100123440KY
Medicaid7100342680KY

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

Accepted Insurance

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.

Dentist (Orthodontics and Dentofacial Orthopedics)
611 N MAIN ST
NICHOLASVILLE, KY 40356
Clinic/Center (Dental)
611 N MAIN ST
NICHOLASVILLE, KY 40356

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 Modern Kids Dentistry Of Nicholasville's NPI number?

The NPI number for Modern Kids Dentistry Of Nicholasville is 1851821854. It was assigned to this organization in the NPPES registry on June 13, 2017.

Where is Modern Kids Dentistry Of Nicholasville located?

Modern Kids Dentistry Of Nicholasville is located at 611 N Main St, Nicholasville, KY 40356. The listed phone number is (859) 759-4428.

What is Modern Kids Dentistry Of Nicholasville's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Modern Kids Dentistry Of Nicholasville accept?

Health plans from UnitedHealthcare list Modern Kids Dentistry Of Nicholasville as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Modern Kids Dentistry Of Nicholasville was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.