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

Kentuckiana Peds Dre LLC

Organization Pediatric Dentistry · NPI 1093580219

Kentuckiana Peds Dre LLC is a Pediatric Dentistry in Mt Washington, Kentucky. Registered with an NPI since 2023.

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

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Practice location Address checks out

211 High Point Ct Ste 200
Mt Washington, KY 40047-5528
Phone: (502) 538-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1093580219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Davis — Director Of Revenue · (859) 533-1109
NPI enumeratedNovember 17, 2023
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023
Mailing address105 Spruce St, Lexington, KY 40507-2109

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