Heritage Dental Center - Petersburg

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HERITAGE DENTAL CENTER - PETERSBURG

Practice address

1930 Petersburg Rd
Hebron, KY 41048-8291

Phone

(859) 441-3120

NPI assigned

Jun 18, 2024

Organization subpart

No

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

Authorized official

Name

Brittany Reddinger

Title

Business Admin

Phone

(859) 441-3120

Specialties & licenses 1

Addresses

Other names 1

• Hebron Advanced Dentistry Doing business as

Locations

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1346083276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SAINT MICHAEL DR",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410763566",
            "telephone_number": "859-441-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 PETERSBURG RD",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410488291",
            "telephone_number": "859-441-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE DENTAL CENTER - PETERSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "REDDINGER",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "BUSINESS ADMIN",
        "authorized_official_telephone_number": "859-441-3120"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hebron Advanced Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hebron Fire Protection District
• Hebron Medical Center LLC
• Kara Heck
• Ivelis Melvy Hensley, RBT
• Heritage Dental Center - Hebron LLC
• Hospital Imaging Co Inc
• Integrity Medical Group, LLC
• Intercare
• Jam Physical Therapy
• Skye Kanta Jamison

• Dental Clinic/Center in Hebron, KY
• Providers in Hebron, KY by specialty
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.