Schulten Pediatric Dentistry - Fern Creek LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SCHULTEN PEDIATRIC DENTISTRY - FERN CREEK LLC

Doing business as

Fern Creek Pediatric Dentistry

Practice address

9316A Cedar Center Way
Louisville, KY 40291-4522

Phone

(502) 897-0625

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Jenna R Schulten, DMD

Title

Owner

Phone

(502) 897-0625

Specialties & licenses 1

Addresses

Other names 1

• Fern Creek Pediatric Dentistry Doing business as

Locations

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1396448353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9316A CEDAR CENTER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9316A CEDAR CENTER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914522",
            "telephone_number": "502-897-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHULTEN PEDIATRIC DENTISTRY - FERN CREEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-26",
        "status": "A",
        "authorized_official_last_name": "SCHULTEN",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-897-0625",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fern Creek Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Blair Schulman-Geltzer
• Brian Lee Schulman, MD
• David Schulte, D.M.D.
• Jennifer Schulte, LBA
• Mark J Schulte, D.M.D.
• Christopher Dean Schulten
• Jenna R Schulten, DMD
• Thad R Schulten, DMD
• Alyssa B Schultz, COTA
• Deborah Jane Schultz, MD

• Pediatric Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.