Kids First Dental Care, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6381 Issued in KY

Legal business name

KIDS FIRST DENTAL CARE, LLC

Practice address

119 Pine St
Barbourville, KY 40906-1517

Phone

(606) 546-7410

Fax

(606) 545-7261

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Edwin E. Smith, DMD

Title

Owner

Phone

(606) 546-7410

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1366645749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PINE ST",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061517",
            "telephone_number": "606-546-7410",
            "fax_number": "606-545-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 PINE ST",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061517",
            "telephone_number": "606-546-7410",
            "fax_number": "606-545-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FIRST DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-546-7410",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61901070",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill M Johnson, APRN
• Patrick Neil Jones
• Carla J Jordan, M.A., CFY-SLP, ATP
• Raven Jordan, FNP
• Bailey Karr
• Kids First Dental Services, Inc
• Stephanie A King, LPCA
• Jade E Knight, LCSW
• Knox County Ambulance Service
• Knox County Health Department

• General Practice Dentistry in Barbourville, KY
• Providers in Barbourville, 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 Apr 20, 2012; 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.