Proctor Family Dental Radcliff

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PROCTOR FAMILY DENTAL RADCLIFF

Practice address

555 W Lincoln Trail Blvd Ste 25
Radcliff, KY 40160-3301

Phone

(270) 301-5060

NPI assigned

Aug 1, 2025

Last updated

Apr 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah A Proctor

Title

Owner

Phone

(270) 312-8003

Specialties & licenses 1

Addresses

Other names 1

• Proctor Family Dental Radcliff Other name

Part of

Proctor Family Dental

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• L'Cris Amaru Real Weathers, DMD

  • General Practice Dentistry
  • Bardstown, KY
  • NPI 1467342345
  NPD
• Kennedy Morgan, DMD

  • General Practice Dentistry
  • Bardstown, KY
  • NPI 1932030186
  NPD (past)

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1013891225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W LINCOLN TRAIL BLVD STE 25",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401603301",
            "telephone_number": "270-390-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W LINCOLN TRAIL BLVD STE 25",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401603301",
            "telephone_number": "270-301-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCTOR FAMILY DENTAL RADCLIFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-312-8003"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proctor Family Dental Radcliff",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tammy Lea Pierce
• Pinnacle Inpatient Medical Services, PLLC
• Chantay Lee Pope, LPN
• Positive Wave L.L.C (Positive Waves L.L.C)
• Cailee Priddy, LCSW
• Carolina Pulgar, CSW
• Bernardette Quimby
• Saadia Qureshi, MD
• Radcliff Pediatrics ,PSC
• Radcliff Pharmacy LLC

• Dental Clinic/Center in Radcliff, KY
• Providers in Radcliff, KY by specialty
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.