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

Elm Pediatric Dentistry, PLLC

Organization Pediatric Dentistry · NPI 1578255055

Elm Pediatric Dentistry, PLLC is a Pediatric Dentistry in Crestwood, Kentucky. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6400 Westwind Way Ste C
Crestwood, KY 40014-6773
Phone: (502) 754-6633
Fax: (859) 207-5102
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 number1578255055
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Austin Rodenberg — Dentist, Owner · (270) 572-9309
NPI enumeratedMay 23, 2023
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023
Mailing address934 Woodland Ridge Cir, La Grange, KY 40031-1373

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