Tonda R Helton, DMD
Individual provider Active NPI General Practice Dentistry · Burkesville, KY
NPI 1295934701 · NPPES record last updated Apr 8, 2024
Key facts
- NPI
- 1295934701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8522 (KY)
- Practice address
- 360 Keen St
Burkesville, KY 42717-7915 - Phone
- (270) 864-1472
- Fax
- (270) 864-1693
- NPI assigned
- Jul 13, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| I20160513001755 | KY | Order and Referring Only - Dentist |
0244529238 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8522 | KY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8522 | KY | Yes |
Addresses
Primary practice location
360 Keen St
Burkesville, KY 42717-7915
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12648704 | Other | KY | CAQH |
| 7100017820 | Medicaid | KY |
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- Cari Lee Gaddie
- Lisa Harper
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- Laura E Hill
- Elizabeth Hurt
- Lauren M Janes
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- Annelee Jayme
All providers in Burkesville, 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 Apr 8, 2024. 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.