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

Modern Kids Dentistry

Organization Pediatric Dentistry · NPI 1174912224

Modern Kids Dentistry is a Pediatric Dentistry in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2015.

Licensed in
KY
In the registry since
2015

Practice location Address checks out

4384 Clearwater Way Ste 150
Lexington, KY 40515-6477
Phone: (859) 321-7051
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 8732 (KY)

Record details

NPI number1174912224
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Raybould — President/Ceo · (859) 321-7051
NPI enumeratedJanuary 13, 2015
Last updated in NPPESApril 13, 2015
Mailing address725 Beechmont Rd, Suite 150, Lexington, KY 40502-2837

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