Cumberland Denture Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5198 Issued in KY

Legal business name

CUMBERLAND DENTURE DENTAL CENTER

Practice address

40 Moonbow PLZ
Suite 3
Corbin, KY 40701-8982

Phone

(606) 528-6104

Fax

(606) 528-3982

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Shelly Anderson

Title

Office Manager

Phone

(606) 528-6104

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306903869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MOONBOW PLZ",
            "address_2": "SUITE 3",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018982",
            "telephone_number": "606-528-6104",
            "fax_number": "606-528-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MOONBOW PLZ",
            "address_2": "SUITE 3",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018982",
            "telephone_number": "606-528-6104",
            "fax_number": "606-528-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND DENTURE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "606-528-6104",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61900783",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Cromer
• Sabrina Lynn Cross, BA
• Angela Kaye Crouch, M.ED.
• Shelby Cruickshank
• Steve Kirby Crumpler, BS
• Cumberland Falls Family Dentistry
• Cumberland Foot and Ankle Center
• Cumberland Gi, PSC
• Cumberland River Behavioral Health, Inc
• Cumberland Valley Surgical Center, LLC

• General Practice Dentistry in Corbin, KY
• Providers in Corbin, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.