PEDIATRIC DENTAL GARDEN CENTER (NPI# 1285902940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285902940 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTAL GARDEN CENTER |
| Practice Address |
2765 Chapel Pl Ste. 250 Crestview Hills KY 41017-3413 |
| Practice Telephone | 8593446200 |
| Practice Fax Number | 8593440980 |
| Mailing Telephone | 8593446200 |
| Mailing Fax Number | 8593440980 |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |
| Authorized Official Name | DR. SOPHIE DUVAL-AUSTIN (DENTIST) |
| Authorized Official Telephone | 8593446200 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8183 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1316094329 | 05 |
| Street Address |
2765 CHAPEL PL STE. 250 |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip Code | 41017-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033170063 | Jon Raymond Minzner | Internal Medicine | 2765 Chapel Pl, Suite 200, Crestview Hills, KY 41017-3413 | 2006-03-29 |
| 1972074805 | Kathy R Mount | Speech-Language Pathologist | 2765 Chapel Pl, Crestview Hills, KY 41017-3413 | 2018-12-17 |
| 1447645056 | Steven Paul Proper | Pediatrics | 2765 Chapel Pl, Crestview Hills, KY 41017-3413 | 2015-03-31 |
| 1881026169 | St. Elizabeth Medical Group | Internal Medicine | 2765 Chapel Pl, Suite 200, Crestview Hills, KY 41017-3413 | 2013-08-08 |
| 1598197691 | Summit Medical Group, Inc. | Pediatrics | 2765 Chapel Pl, Su. 200, Crestview Hills, KY 41017-3413 | 2013-07-31 |
| 1144510231 | Joseph D Bailey Iv | Internal Medicine | 2765 Chapel Pl, Suite 200, Crestview Hills, KY 41017 | 2011-04-11 |
| 1447402326 | Patricia Ann Gribben | Specialist | 2765 Chapel Pl, Crestview Hills, KY 41017-3413 | 2008-10-22 |
| 1376754663 | Kimberly Deringer | Internal Medicine | 2765 Chapel Pl, Suite 200, Crestview Hills, KY 41017 | 2007-05-25 |
| 1851511158 | Jennifer Marie Ernst | Internal Medicine | 2765 Chapel Pl, Suite 200, Crestview Hills, KY 41017 | 2007-04-27 |
| 1235211491 | Michael Joseph Geiger | Internal Medicine | 2765 Chapel Pl, Suite 200, Crestview Hills, KY 41017 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| 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 |
|---|---|---|---|---|
| 1740641158 | Ivory Ward | Dentist | 25 Town Center Blvd Ste 202, Crestview Hills, KY 41017 | 2016-03-11 |
| 1023210226 | Mark M Wehrman | Dentist | 220 Thomas More Pkwy, Crestview Hills, KY 41017-3424 | 2007-06-01 |
| 1932203007 | Drs Haas & Wehrman Psc | Dentist | 220 Thomas More Park, Crestview Hills, KY 41017 | 2006-09-11 |
| 1689876880 | Martin A. Haas | Dentist | 220 Thomas More Pkwy, Crestview Hills, KY 41017-3424 | 2007-06-01 |
| 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 |
| 1073099792 | Lake Cumberland Pediatric Dentistry | Dentist | 100 Hardin Ln Ste A, Somerset, KY 42503-3812 | 2018-07-16 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
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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.