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

Wise Dentistry for Kids, PSC

Organization Pediatric Dentistry · NPI 1790075166

Wise Dentistry for Kids, PSC is a Pediatric Dentistry in Campbellsville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2011.

Licensed in
KY
In the registry since
2011
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 Medical Park Dr Ste 1
Campbellsville, KY 42718-9622
Phone: (270) 469-1403
Fax: (270) 469-1405
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 8254 (KY)

Record details

NPI number1790075166
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Wise — Owner/Dentist · (270) 469-1403
NPI enumeratedApril 19, 2011
Last updated in NPPESApril 19, 2011
Mailing address105 Medical Park Drive, Suite 1, Campbellsville, KY 42718

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