Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breathitt Dental Clinic PSC

Organization General Practice Dentistry · NPI 1942577697

Breathitt Dental Clinic PSC is a General Practice Dentistry in Jackson, Kentucky. Licensed in Kentucky. Registered with an NPI since 2011.

Licensed in
KY
In the registry since
2011
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

221 Highway 15 S
Jackson, KY 41339-9600
Phone: (606) 666-4020
Fax: (606) 666-4021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6753 (KY)

Record details

NPI number1942577697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Campbell — Owner · (606) 666-4020
NPI enumeratedNovember 23, 2011
Last updated in NPPESNovember 23, 2011
Mailing addressPo Box 854, Hazard, KY 41702-0854

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