Audubon Dental Center, PSC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AUDUBON DENTAL CENTER, PSC

Practice address

610 Carlton Dr
Owensboro, KY 42303-7709

Phone

(270) 683-6623

NPI assigned

Dec 6, 2007

Last updated

Dec 6, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

AUDUBON DENTAL CENTER, PSCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

S. Kurtis Wilson

Title

Owner

Phone

(270) 826-2092

Specialties & licenses 1

Addresses

Tax ID family

Audubon Dental Center PSC2 organizations share this tax ID, including this one

Part of

Audubon Dental Center PSC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Audubon Dental Center PSC

  • Dentist
  • Henderson, KY
  • NPI 1619034915
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Audubon Dental Center PSC

  • Dentist
  • Henderson, KY
  • NPI 1619034915
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David A Browne, D.D.S.

  • General Practice Dentistry
  • Owensboro, KY
  • NPI 1548475486
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1306029848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 2ND ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 CARLTON DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037709",
            "telephone_number": "270-683-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDUBON DENTAL CENTER, PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUDUBON DENTAL CENTER, PSC",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "S. KURTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-826-2092"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audubon Area Community Care Clinic, Inc.
• Audubon Area Community Care Clinic, Inc. (Audubon Area Community Care Clinic - Mobile Unit)
• Audubon Area Community Care Clinic, Inc.
• Audubon Area Community Care Clinic, Inc.
• Audubon Area Community Services, Inc
• Travis Ausland, OT
• Lindsey Nicole Austin, PTA
• Michael Shane Austin, DMD
• Heather Autry
• Rebeccah Ayer

• Dentist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.