SMILE DOCTORS OF KENTUCKY PSC (NPI# 1669038105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669038105 |
| Entity Type | Organization |
| Organization Name | SMILE DOCTORS OF KENTUCKY PSC |
| Practice Address |
1481 Cavalry Ln Ste 100 Florence KY 41042-8428 |
| Mailing Address |
295 Se Inner Loop Georgetown TX 78626-2140 |
| Practice Telephone | 8592828844 |
| Mailing Telephone | 9702244294 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |
| Authorized Official Name | KIM SCHLEPPY (DIRECTOR PAYOR RELATIONS) |
| Authorized Official Telephone | 9702244294 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
1481 CAVALRY LN STE 100 |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-8428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1083003149 | Daniel Alan Noll | Dentist | 7559a Mall Rd, Florence, KY 41042-1401 | 2015-01-13 |
| 1538457270 | Erin Brophey Patton | Dentist | Orthodontic Specialist, 1343 Second Loop Road, Florence, SC 29505 | 2011-07-15 |
| 1417178492 | Kerry White Brown, Dds, PC | Dentist | 2859 David H Mcleod Blvd, Florence, SC 29501-4099 | 2007-05-01 |
| 1710106919 | Daughtry Orthodontics | Dentist | 517 W Palmetto St, Florence, SC 29501-4427 | 2007-04-25 |
| 1467589226 | Sam Hyman Arazie | Dentist | 1385 2nd Loop Rd, Florence, SC 29505-2841 | 2007-02-28 |
| 1538296637 | David Alan Twesme | Dentist | 1916 Bruin Dr, Florence, AL 35630-6769 | 2007-02-27 |
| 1700921533 | David H Merritt | Dentist | 162 Ana Dr, Florence, AL 35630-1759 | 2007-02-20 |
| 1689756744 | Townsend V Holt | Dentist | 615 W Palmetto St, Florence, SC 29501-4301 | 2006-10-19 |
| 1710068390 | Orthodontic Specialists-drs. Welch and Bonds, P.a. | Dentist | 1343 2nd Loop Rd, Florence, SC 29505-2841 | 2006-10-18 |
| Find all providers in FLORENCE | ||||
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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.