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ELM PEDIATRIC DENTISTRY OF NORTHERN KENTUCKY PLLC
NPI 1992505739
Dentist - Pediatric Dentistry in Independence, KY

Active since March 18, 2025
1986 WALTON NICHOLSON PIKE, INDEPENDENCE, KY 41051(859) 356-5555 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 12, 2025, Mar 18, 2025 (2 updates tracked since 2025).

About Elm Pediatric Dentistry Of Northern Kentucky Pllc NPPES

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

ELM PEDIATRIC DENTISTRY OF NORTHERN KENTUCKY PLLC (NPI 1992505739) is a healthcare organization registered as a pediatric dentistry in Independence, Kentucky and active in the NPI registry since March 2025. The organization lists Austin Rodenberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1992505739
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameELM PEDIATRIC DENTISTRY OF NORTHERN KENTUCKY PLLC
Location Address1986 WALTON NICHOLSON PIKEIndependence, KY 41051-7906
Mailing Address934 Woodland Ridge CirLa Grange, KY 40031-1373 · (270) 572-9309
Phone(859) 356-5555
Organization SubpartNo
Authorized OfficialAustin RodenbergOwner · (270) 572-9309
Enumeration DateMarch 18, 2025
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1992505739 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.

1986 WALTON NICHOLSON PIKE, Independence, KY 41051
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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 2

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

DR. JANICE ANN STRUCKHOFF DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
1986 WALTON NICHOLSON PIKE
INDEPENDENCE, KY 41051
Kenton County (859) 356-6630
AREEGE JENDI
Dentist (Pediatric Dentistry)
1986 WALTON NICHOLSON PIKE
INDEPENDENCE, KY 41051
Kenton County (859) 356-5555

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 Elm Pediatric Dentistry Of Northern Kentucky PLLC's NPI number?

The NPI number for Elm Pediatric Dentistry Of Northern Kentucky PLLC is 1992505739. It was assigned to this organization in the NPPES registry on March 18, 2025.

Where is Elm Pediatric Dentistry Of Northern Kentucky PLLC located?

Elm Pediatric Dentistry Of Northern Kentucky PLLC is located at 1986 Walton Nicholson Pike, Independence, KY 41051. The listed phone number is (859) 356-5555.

What is Elm Pediatric Dentistry Of Northern Kentucky PLLC'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 Elm Pediatric Dentistry Of Northern Kentucky PLLC was last updated on November 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.