Active NPI
Associates in Dentistry, LLC
- General Practice Dentistry
- Russell Springs, KY
National Provider Identifier
1104999218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5243
- Legal business name
- ASSOCIATES IN DENTISTRY, LLC
- Practice address
- 2289 Lakeway Dr.
Suite 5
Russell Springs, KY 42642-0858 - Phone
- (270) 866-8891
- NPI assigned
- Nov 16, 2006
- Last updated
- Oct 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kyle Patrick Stewart, DMD
- Title
- Partner
- Phone
- (270) 866-8891
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5243 | KY | Primary |
Addresses
Primary practice location
2289 Lakeway Dr.
Suite 5
Russell Springs, KY 42642-0858
Mailing address
PO Box 858
Key Village Shopping Center
Russell Springs, KY 42642-0858
Phone (270) 866-8891
National Provider Directory
National Provider Directory- Tax ID family
- Associates in Dentistry LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Mount Vernon, KY
- NPI 1821324112
-
- General Practice Dentistry
- Whitley City, KY
- NPI 1194899161
-
- General Practice Dentistry
- Somerset, KY
- NPI 1285782029
Locations
2289 Lakeway Dr
Ste 5
Russell Springs, KY 42642
Phone (270) 866-8891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381795200000",
"number": "1104999218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 858",
"address_2": "KEY VILLAGE SHOPPING CENTER",
"city": "RUSSELL SPRINGS",
"state": "KY",
"postal_code": "426420858",
"telephone_number": "270-866-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2289 LAKEWAY DR.",
"address_2": "SUITE 5",
"city": "RUSSELL SPRINGS",
"state": "KY",
"postal_code": "426420858",
"telephone_number": "270-866-8891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATES IN DENTISTRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2013-10-15",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "KYLE",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "270-866-8891",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "5243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russell Springs, KY
- Acsr, Inc. (Active Day of Russell Springs)
- Adair County Hospital District (Westlake Primary Care of Russell Springs)
- Stephen Aitken, CRNA
- Brittany Antle, PHARMD
- Donna Ann Antle
- Associates in Eye Care, Inc.
- Avante Garde Health Centers, LLC
- Mary Lynn Bailey, M.ED., NCC, LPCC-S
- Rhonda Dawn Begley, LPCC, TCADC
- Robert L. Bertram, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.