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PEDIATRIC DENTAL GROUP OF LOUISVILLE
NPI 1942329495
Dentist - Pediatric Dentistry in Louisville, KY

Active since March 28, 2007
9710 PARK PLAZA AVE, SUITE 101, LOUISVILLE, KY 40241(502) 327-6380(502) 327-8650 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dental Group Of Louisville NPPES

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

PEDIATRIC DENTAL GROUP OF LOUISVILLE (NPI 1942329495) is a healthcare organization registered as a pediatric dentistry in Louisville, Kentucky and active in the NPI registry since March 2007. The organization lists Connie Ison, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1942329495
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL GROUP OF LOUISVILLE
Location Address9710 PARK PLAZA AVE, SUITE 101Louisville, KY 40241-2291
Mailing Address9710 Park Plaza Ave, Suite 101Louisville, KY 40241-2291 · (502) 327-6380 · Fax (502) 327-8650
Phone(502) 327-6380
Fax(502) 327-8650
Organization SubpartNo
Authorized OfficialConnie IsonBusiness Manager · (502) 327-6380
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942329495 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.
9710 PARK PLAZA AVE, Louisville, KY 40241
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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

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.

DR. FRANCO CORDINI DDS, MS, MBA
Dentist (Periodontics)
9710 PARK PLAZA AVE, SUITE 105
LOUISVILLE, KY 40241
Jefferson County (502) 425-5010
PRISCILLA JOHNS BOND DMD
Dentist (Pediatric Dentistry)
9710 PARK PLAZA AVE, SUITE 101
LOUISVILLE, KY 40241
Jefferson County (502) 327-6380
DR. HASKA ALJUKIC DMD, MSD
Dentist (Pediatric Dentistry)
9710 PARK PLAZA AVE
LOUISVILLE, KY 40241
Jefferson County (502) 327-6380

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 Dental Group Of Louisville's NPI number?

The NPI number for Pediatric Dental Group Of Louisville is 1942329495. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Pediatric Dental Group Of Louisville located?

Pediatric Dental Group Of Louisville is located at 9710 Park Plaza Ave Suite 101, Louisville, KY 40241. The listed phone number is (502) 327-6380.

What is Pediatric Dental Group Of Louisville'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 Dental Group Of Louisville was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.