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

Commonwealth Periodontics & Implant Center

Organization Periodontics · NPI 1053767053

Commonwealth Periodontics & Implant Center is a Periodontics in London, Kentucky. Licensed in Kentucky. Registered with an NPI since 2016.

Licensed in
KY
In the registry since
2016
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Practice location Address checks out

1545 S Main St
London, KY 40741-2071
Phone: (606) 878-1971
Fax: (606) 864-8774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 6224 (KY)

Record details

NPI number1053767053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Paul — Financial Coordinator · (606) 878-1971
NPI enumeratedMay 9, 2016
Last updated in NPPESMay 9, 2016
Mailing address1545 S Main St, London, KY 40741-2071