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

Elm Pediatric Dentistry of Northern Kentucky PLLC

Organization Pediatric Dentistry · NPI 1992505739

Elm Pediatric Dentistry of Northern Kentucky PLLC is a Pediatric Dentistry in Independence, Kentucky. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1986 Walton Nicholson Pike
Independence, KY 41051-7906
Phone: (859) 356-5555
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1992505739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Austin Rodenberg — Owner · (270) 572-9309
NPI enumeratedMarch 18, 2025
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address934 Woodland Ridge Cir, La Grange, KY 40031-1373