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

Dental Professional of Kentucky PSC

Organization Dentist · NPI 1912060351

Dental Professional of Kentucky PSC is a Dentist in Georgetown, Kentucky. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

240 Blossom Park Dr Ste 2
Georgetown, KY 40324-9079
Phone: (502) 570-8841
Fax: (502) 570-8891
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1912060351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Kroeger — Insurance Cood · (218) 540-5100
Other names Blossom Park Dental Care
NPI enumeratedDecember 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address240 Blossom Park Dr, Suite 2, Georgetown, KY 40324-9079

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