Active NPI
Khrystyna Babenko, DMD
- Dentist
- Yulee, FL
National Provider Identifier
1174366553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN30910
- Practice address
- 463787 FL-200
Yulee, FL 32097 - Phone
- (904) 526-8803
- NPI assigned
- Jun 14, 2024
- Last updated
- Aug 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D-00256 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DN30910 | FL | Primary |
| Dentist | 122300000X | DS045411 | PA |
Addresses
Primary practice location
463787 FL-200
Yulee, FL 32097
Mailing address
463787 FL-200
Yulee, FL 32097
Phone (904) 526-8803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN30910 | FL | MD | Dentist |
| D-00256 | KY | MD | Dentist |
| DS045411 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Dental Concepts LLC | Dentist | Current | Accepting new patients |
Locations
2247 Forest Hills Dr
Harrisburg, PA 17112
Phone (717) 545-2232
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Forest Hills Dental Associates
- Dentist
- Harrisburg, PA
- NPI 1841823374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1174366553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463787 FL-200",
"city": "YULEE",
"state": "FL",
"postal_code": "32097",
"telephone_number": "904-526-8803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463787 FL-200",
"city": "YULEE",
"state": "FL",
"postal_code": "32097",
"telephone_number": "904-526-8803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABENKO",
"first_name": "KHRYSTYNA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-14",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "D-00256",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN30910",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS045411",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yulee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.