DENTAL PROFESSIONAL OF KENTUCKY PSC (NPI# 1912060351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912060351 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONAL OF KENTUCKY PSC |
| Other Organization Name | BLOSSOM PARK DENTAL CARE |
| Practice Address |
240 Blossom Park Dr Suite 2 Georgetown KY 40324-9079 |
| Practice Telephone | 5025708841 |
| Practice Fax Number | 5025708891 |
| Mailing Telephone | 5025708841 |
| Mailing Fax Number | 5025708891 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AMY M KROEGER (INSURANCE COOD) |
| Authorized Official Telephone | 2185405100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Blossom Park Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285798058 | Dental Professional of Kentucky Psc | Dentist | 240 Blossom Park Dr, Suite 1, Georgetown, KY 40324-9079 | 2006-12-19 |
| Street Address |
240 BLOSSOM PARK DR SUITE 2 |
| City | GEORGETOWN |
| State | KY |
| Zip Code | 40324-9079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437223674 | Joann E Hollen | Dentist | 240 Blossom Park Dr, Suite 2, Georgetown, KY 40324-9079 | 2006-11-20 |
| 1427262153 | Serder Abadi | Dentist | 240 Blossom Park Dr, Suite 1, Georgetown, KY 40324-9079 | 2007-05-10 |
| 1285798058 | Dental Professional of Kentucky Psc | Dentist | 240 Blossom Park Dr, Suite 1, Georgetown, KY 40324-9079 | 2006-12-19 |
| 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 | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164084554 | Prameela Vennapusala | Dentist | 259 Fort Cobb Way, Georgetown, TX 78628-2121 | 2019-07-05 |
| 1427522796 | Brush32 Dental of Georgetown Pllc | Dentist | 1431 S Interstate 35 # 105, Georgetown, TX 78626-5419 | 2019-01-19 |
| 1588188304 | Wolf Ranch Dental Group, PC | Dentist | 1135 West University Avenue, Georgetown, TX 78628 | 2017-08-02 |
| 1558726000 | Georgetown Dental Associates | Dentist | 20785 Professional Park Blvd, Georgetown, DE 19947-3198 | 2015-12-29 |
| 1811352966 | Georgetown Family and Cosmetic Dentistry | Dentist | 900 N Austin Ave Ste 319, Georgetown, TX 78626-4354 | 2015-12-16 |
| 1962811869 | Nancy Yousef | Dentist | 307 Oak Branch Dr, Georgetown, TX 78633-5638 | 2014-08-05 |
| 1013337500 | Family Total Dental Pa | Dentist | 508 Goodnight Dr, Georgetown, TX 78628-6956 | 2014-04-23 |
| 1992130140 | Lauren Conway | Dentist | 1135 W University Ave, Georgetown, TX 78628-5313 | 2013-09-06 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1841630738 | Keren Cherian | Dentist | 950 W University Ave Ste 101, Georgetown, TX 78626-6505 | 2013-06-25 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 40324 |
Please comment or provide details below to improve the information on DENTAL PROFESSIONAL OF KENTUCKY PSC.
| 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.