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

Modern Kids Dentistry of Elizabethtown, PLLC

Organization Pediatric Dentistry · NPI 1285299149

Modern Kids Dentistry of Elizabethtown, PLLC is a Pediatric Dentistry in Elizabethtown, Kentucky. Registered with an NPI since 2019.

In the registry since
2019
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

151 Drexler Cir # A
Elizabethtown, KY 42701-7843
Phone: (859) 608-1579
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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 number1285299149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Raybould — Owner/Manager · (859) 321-7051
NPI enumeratedMay 7, 2019
Last updated in NPPESMay 7, 2019
Mailing addressPo Box 23293, Lexington, KY 40523-3293

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