PEDIATRIC DENTISTRY OF GEORGETOWN, PLLC (NPI# 1447331509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447331509 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTISTRY OF GEORGETOWN, PLLC |
| Practice Address |
101 Darby Dr Ste 101 Georgetown KY 40324-8715 |
| Practice Telephone | 5028670451 |
| Practice Fax Number | 5028670458 |
| Mailing Telephone | 5028670451 |
| Mailing Fax Number | 5028670458 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | DR. CHRISTOPHER A COTTERILL (OWNER) |
| Authorized Official Telephone | 5028670451 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
754 | KY | Dental Providers |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
7468 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 60003530 | 05 |
| Street Address |
101 DARBY DR STE 101 |
| City | GEORGETOWN |
| State | KY |
| Zip Code | 40324-8715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457577 | Katherine Lynn Helly | Specialist/Technologist | 108 Crawford Dr, Georgetown, KY 40324 | 2020-08-12 |
| 1629530597 | Hannah Cheyenne Lambert | Occupational Therapy Assistant | 12 Dover Dr, Georgetown, KY 40324 | 2019-04-01 |
| 1669932430 | Kathlyn Reeves Cummings | Occupational Therapist | 112 Dover Drive Dover Manor, Georgetown, KY 40324 | 2019-03-20 |
| 1356848147 | Conundrum, Inc | Home Health | 107 Frazier Ct Ste 2b, Georgetown, KY 40324 | 2018-04-09 |
| 1831698893 | Staci Case | Counselor | 110 E. Main St. Suite 111, Georgetown, KY 40324 | 2018-02-06 |
| 1821537002 | Lesa Young | Counselor | 112 Gatewood Drive, Georgetown, KY 40324 | 2017-02-21 |
| 1508235904 | Recovery Works | Specialist | 3109 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1417326810 | Recovery Works | Specialist | 3111 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1982073383 | Recovery Works | Specialist | 3109-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1871962274 | Recovery Works | Specialist | 3111-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| Find all providers in zip 40324 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901753 | Hq Dental Design | Clinic/Center | 3011 Dawn Dr Ste 105, Georgetown, TX 78628-2827 | 2020-10-29 |
| 1487173266 | Renken Dentistry of Texas Pllc | Clinic/Center | 5725 Williams Dr Ste 101, Georgetown, TX 78633-2216 | 2017-09-13 |
| 1336783018 | Levo Dental 2 Pllc | Clinic/Center | 3737 Williams Dr, Georgetown, TX 78628-2401 | 2019-11-05 |
| 1790337673 | Levo Dental Pllc | Clinic/Center | 113 E University Ave, Georgetown, TX 78626-6828 | 2019-07-11 |
| 1154794691 | Lindsay H Moore, Dmd Pa | Clinic/Center | 301 Church St, Georgetown, SC 29440-2405 | 2015-11-05 |
| 1669872297 | Daniel T Harning Dds Inc | Clinic/Center | 444 Home St, Georgetown, OH 45121-1408 | 2014-09-02 |
| 1669774022 | Mortenson Family Dental Center - Georgetown, Pllc | Clinic/Center | 1508 Oxford Dr, Georgetown, KY 40324-9266 | 2010-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535810 | Norvell Family Dentistry Pllc | Clinic/Center | 821 W. Hwy 25w, Williamsburg, KY 40769 | 2020-10-15 |
| 1629696505 | Kauffmann and Sims Dentistry Pllc | Clinic/Center | 3935 Dupont Cir Ste A, Louisville, KY 40207-4824 | 2020-07-08 |
| 1841816824 | Lyon Family Dental | Clinic/Center | 252 Commerce St, Eddyville, KY 42038-8294 | 2020-06-24 |
| 1508487109 | Arrow Dental Pllc | Clinic/Center | 1107 Crown Pointe Dr Ste 210, Elizabethtown, KY 42701-7281 | 2020-05-05 |
| 1831710698 | Arrow Dental Pllc | Clinic/Center | 25 E High St Ste 2, Mt Sterling, KY 40353-1267 | 2020-05-04 |
| 1699396440 | Arrow Dental Pllc | Clinic/Center | 2560 Bypass Rd Ste 2, Winchester, KY 40391-2387 | 2020-05-04 |
| 1922629773 | Arrow Dental Pllc | Clinic/Center | 1080 Ben Ali Dr Ste A, Danville, KY 40422-8937 | 2020-05-04 |
| 1730700576 | Arrow Dental Pllc | Clinic/Center | 2505 Larkin Rd Ste 201, Lexington, KY 40503-3256 | 2020-05-04 |
| 1699394783 | Professional Dental Services of Kentucky Psc | Clinic/Center | 4814 Outer Loop Ste A, Louisville, KY 40219-3302 | 2020-04-09 |
| 1316579279 | Shannon P Johnson Dmd Pllc | Clinic/Center | 9510 Ormsby Station Rd Ste 203, Louisville, KY 40223-4083 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 40324 |
Please comment or provide details below to improve the information on PEDIATRIC DENTISTRY OF GEORGETOWN, PLLC.
| 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.