Mt Sterling Peds Dre LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MT STERLING PEDS DRE LLC

Practice address

25 E High St Ste 2
Mt Sterling, KY 40353-1267

Phone

(859) 274-4434

NPI assigned

Nov 16, 2023

Organization subpart

No

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

Authorized official

Name

Elizabeth Davis

Title

Director of Revenue

Phone

(859) 533-1109

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1083489462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SPRUCE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405072109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E HIGH ST STE 2",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531267",
            "telephone_number": "859-274-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT STERLING PEDS DRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE",
        "authorized_official_telephone_number": "859-533-1109"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Motley-Crouch, LCSW
• Mount Sterling Family Care Center PLLC
• Mount Sterling Pediatric Dentistry PLLC
• Mshi LLC
• Mt Sterling Health & Rehab LLC
• Mt Sterling Speech Therapy LLC
• Mt. Sterling Chiropractic Center
• Mt. Sterling Clinic, PLLC.
• Mt. Sterling Pediatrics
• Mt. Sterling Pediatrics PSC

• Pediatric Dentistry in Mt Sterling, KY
• Providers in Mt Sterling, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.