Khrystyna Babenko, DMD
Individual provider Active NPI Dentist · Yulee, FL
NPI 1174366553 · NPPES record last updated Aug 11, 2026
Key facts
- NPI
- 1174366553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN30910 (FL)
- Practice address
- 463787 FL-200
Yulee, FL 32097 - Phone
- (904) 526-8803
- NPI assigned
- Jun 14, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN30910 | FL | 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
Specialties & licenses
| 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 | Yes |
| 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
Other providers in Yulee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.