Dhda HFD, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DHDA HFD, PLLC

Doing business as

Highland Family Dentistry

Practice address

20 N Grand Ave Ste 10And11
Fort Thomas, KY 41075-4106

Phone

(203) 921-6141

NPI assigned

Jan 21, 2021

Organization subpart

Yes

Parent organization

DHDA PROVIDERCO, PLLCAs reported in NPPES

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

Authorized official

Name

Paul T Lavelle, DMD

Title

Clinical Director

Phone

(203) 921-6141

Specialties & licenses 1

Addresses

Other names 1

• Highland Family Dentistry Doing business as

Part of

Dhda Providerco PLLC

Locations

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1386234672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 FARM RIDGE LN",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597617",
            "telephone_number": "203-921-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N GRAND AVE STE 10AND11",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410754106",
            "telephone_number": "203-921-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHDA HFD, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DHDA PROVIDERCO, PLLC",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "LAVELLE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "203-921-6141",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seana Jean Creech, LISW-S
• Cheryl French Cummins, MSW LSW
• Molly J Dalton, PTA
• Erin K Davren, M.D.
• Jerrod Dempsey, D,M.D.
• Tabitha Anne Dibacco
• Jennifer Brook Dickson, COTA/L
• Damian Francis Dolan, MD
• Michael Anthony Domet, M.D.
• Kyle Benjamin Dougherty, MD

• Dentist in Fort Thomas, KY
• Providers in Fort Thomas, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.