LAKE CUMBERLAND PEDIATRIC DENTISTRY (NPI# 1073099792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073099792 |
| Entity Type | Organization |
| Organization Name | LAKE CUMBERLAND PEDIATRIC DENTISTRY |
| Practice Address |
100 Hardin Ln Ste A Somerset KY 42503-3812 |
| Mailing Address |
177 Lakeview Dr Somerset KY 42503-9253 |
| Practice Telephone | 8594217838 |
| Mailing Telephone | 8594217838 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Authorized Official Name | DR. ANGELA DAVIDSON GABBARD (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 8594217838 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9333 | KY | Dental Providers |
| Street Address |
100 HARDIN LN STE A |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730420092 | Mary Catherine Wurth | Dentist | 401 Bogle St Ste 204, Somerset, KY 42503-2850 | 2013-03-12 |
| 1427107937 | Brandi Prather | Dentist | 47 Sarahs Ln, Somerset, KY 42503 | 2007-01-10 |
| 1275554123 | Somerset Pediatric Dental Associates LLC | Dentist | 33 Clyde Rd Ste 104, Somerset, NJ 08873-5032 | 2006-07-23 |
| 1144247933 | Martin Halofsky | Dentist | 1313 State Route 27, Somerset, NJ 08873-3439 | 2006-07-16 |
| 1386624245 | Harvey H Frankel | Dentist | 614 S Franklin Ave, Suite #101, Somerset, PA 15501-1800 | 2006-01-18 |
| 1760768865 | Brandi Prather Dmd | Dentist | 47 Sarahs Ln, Somerset, KY 42503-2789 | 2011-11-02 |
| 1215157979 | Suni Bolar | Dentist | 33 Clyde Rd Ste 104, Somerset, NJ 08873-5032 | 2007-04-26 |
| 1285706499 | William A. Caudill | Dentist | 100 Hardin Ln, Suite A, Somerset, KY 42503-3812 | 2006-11-14 |
| 1720007776 | Maxim Sulla | Dentist | 1313 State Route 27, Somerset, NJ 08873-3439 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599802 | Derby City Pediatric Dentistry, Pllc | Dentist | 2120 High Wickham Pl Ste 103, Louisville, KY 40245-5903 | 2020-02-05 |
| 1588204655 | Kids Dentistree of Ky LLC | Dentist | 8727 Old Bardstown Rd, Louisville, KY 40291-4490 | 2020-01-07 |
| 1033775374 | Alex Mayes Young Dmd Pllc | Dentist | 7400 Us 42, Florence, KY 41042-1906 | 2019-05-13 |
| 1285299149 | Modern Kids Dentistry of Elizabethtown, Pllc | Dentist | 151 Drexler Cir # A, Elizabethtown, KY 42701-7843 | 2019-05-07 |
| 1780141580 | Morgan Marie Nowery | Dentist | 134 Gillette Ave, Louisville, KY 40214-1914 | 2019-02-27 |
| 1578030995 | Huda Hussain Alkuhl | Dentist | 501 S Preston St Fl 3, Louisville, KY 40202-1701 | 2018-10-24 |
| 1376032557 | Devon Cooper | Dentist | 5495 N Bend Rd Ste 102, Burlington, KY 41005-9378 | 2018-05-03 |
| 1609363795 | Alexandria Gene Maxson | Dentist | 1275 Hallwood Dr, Morehead, KY 40351-7370 | 2018-04-16 |
| 1831606094 | Djr2 Professional Limited Liability Company | Dentist | 303 S 4th St Ste 201, Danville, KY 40422-2091 | 2018-01-09 |
| 1083144265 | Kelly Wessel | Dentist | 4413 Santa Paula Ln, Louisville, KY 40219-3820 | 2017-06-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.