Joshua David Stratton, DMD
Individual provider Active NPI General Practice Dentistry · Elkhorn City, KY
NPI 1154737716 · NPPES record last updated Aug 14, 2015
Key facts
- NPI
- 1154737716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9508 (KY)
- Practice address
- 155 E Main St
Elkhorn Dental
Elkhorn City, KY 41522 - Phone
- (502) 565-6902
- NPI assigned
- Jul 3, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161221001581 | KY | Order and Referring Only - Dentist |
9739460270 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9508 | KY | Yes |
Addresses
Primary practice location
155 E Main St
Elkhorn Dental
Elkhorn City, KY 41522
Mailing address
155 E Main St
Elkhorn Dental
Elkhorn City, KY 41522
Phone (502) 565-6902
Other providers in Elkhorn City, KY
- Lewauna Renee Reardon
- William Ralph Rentel III
- Kelly Marie Scott
- Specialty Physician Assistant,LLC
- Ashley M. Stewart
- Celia Renee Tackett
- Wellmont Health System
- Wellmont Physician Services Inc
- Wellness Center of Elkhorn City
- Westcare Kentucky Inc
All providers in Elkhorn City, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.