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CRISP DRE LLC
NPI 1902671373
Dentist - Pediatric Dentistry in Winchester, KY

Active since November 16, 2023
11 CANARY LN, WINCHESTER, KY 40391(859) 744-7031 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crisp Dre Llc NPPES

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

CRISP DRE LLC (NPI 1902671373) is a healthcare organization registered as a pediatric dentistry in Winchester, Kentucky and active in the NPI registry since November 2023. The organization lists Elizabeth Davis, Director Of Revenue, as its authorized official.

NPPES Registry Identity

NPI1902671373
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCRISP DRE LLC
Location Address11 CANARY LNWinchester, KY 40391-1645
Mailing Address105 Spruce StLexington, KY 40507-2109
Phone(859) 744-7031
Organization SubpartNo
Authorized OfficialElizabeth DavisDirector Of Revenue · (859) 533-1109
Enumeration DateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
✔ NPI 1902671373 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.
11 CANARY LN, Winchester, KY 40391
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 3

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

TIM F. CRISP DMD
Dentist
11 CANARY LN
WINCHESTER, KY 40391
Clark County (859) 744-7031
DR. TIMOTHY F. CRISP D.M.D.
Dentist (Pediatric Dentistry)
11 CANARY LN
WINCHESTER, KY 40391
Clark County (859) 744-7031
DR. CLIFFORD KIRBY GOODWINE DMD
Dentist (Pediatric Dentistry)
11 CANARY LN
WINCHESTER, KY 40391
Clark County (270) 304-6547

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 Crisp Dre LLC's NPI number?

The NPI number for Crisp Dre LLC is 1902671373. It was assigned to this organization in the NPPES registry on November 16, 2023.

Where is Crisp Dre LLC located?

Crisp Dre LLC is located at 11 Canary Ln, Winchester, KY 40391. The listed phone number is (859) 744-7031.

What is Crisp Dre LLC's specialty?

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

What insurance does Crisp Dre LLC accept?

Health plans from UnitedHealthcare list Crisp Dre LLC 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 Crisp Dre LLC was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.