Organization Active NPI

Tritle Family Dentistry, PSC

  • Dental Clinic/Center
  • Paducah, KY
National Provider Identifier
1003276965
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TRITLE FAMILY DENTISTRY, PSC
Practice address
2418 New Holt Rd
Paducah, KY 42001-7455
Phone
(270) 554-4445
Fax
(270) 554-4248
NPI assigned
Mar 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andrew Beyerle Tritle, D.M.D.
Title
President
Phone
(502) 299-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2418 New Holt Rd
Paducah, KY 42001-7455

Mailing address

2418 New Holt Rd
Paducah, KY 42001-7455
Phone (270) 554-4445

National Provider Directory

National Provider Directory

Locations

2418 New Holt Rd
Paducah, KY 42001
Phone (270) 554-4445

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1003276965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017455",
            "telephone_number": "270-554-4445",
            "fax_number": "270-554-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017455",
            "telephone_number": "270-554-4445",
            "fax_number": "270-554-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRITLE FAMILY DENTISTRY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "TRITLE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "BEYERLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-299-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.