Davis Cosmetic and Family Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8660 Issued in KY

Legal business name

DAVIS COSMETIC AND FAMILY DENTISTRY, PLLC

Practice address

115 E Flaget St
Bardstown, KY 40004-1517

Phone

(502) 836-2830

NPI assigned

Apr 14, 2015

Organization subpart

No

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

Authorized official

Name

Denita Davis

Title

HR & Practice Manager

Phone

(502) 744-3988

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1063808277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E FLAGET ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E FLAGET ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041517",
            "telephone_number": "502-836-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS COSMETIC AND FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DENITA",
        "authorized_official_title_or_position": "HR & PRACTICE MANAGER",
        "authorized_official_telephone_number": "502-744-3988"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Simpson Curtsinger, OTR/L, CHT
• Hannah Daep, OTR/L
• Kaylin Michelle Dalton, PHLEBOTOMIST
• Darlena K Smith
• Darlena K Smith LLC
• Jasen Conner Davis, MD
• Justin William Davis, MSN, APRN, FNP-C
• Lakeisha Carol Davis, D.M.D.
• Megan Mae Davis, MSN, APRN, FNP-C
• Franklin O De la Cruz, M.D.

• General Practice Dentistry in Bardstown, KY
• Providers in Bardstown, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.