Heritage Dental Center - Buttermilk LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HERITAGE DENTAL CENTER - BUTTERMILK LLC

Practice address

2446 Anderson Rd Ste 100
Crescent Springs, KY 41017-1400

Phone

(859) 331-8200

NPI assigned

Feb 5, 2024

Last updated

Feb 5, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

HERITAGE DENTAL CENTER, CORP.As reported in NPPES

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

Authorized official

Name

Brittany Reddinger

Title

Business Manager

Phone

(859) 991-7816

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1497518104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 ANDERSON RD STE 100",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410171400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 ANDERSON RD STE 100",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410171400",
            "telephone_number": "859-331-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE DENTAL CENTER - BUTTERMILK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE DENTAL CENTER, CORP.",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "REDDINGER",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "859-991-7816"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Sue Gormley, RPH
• Gena Grigson, M.S.W.
• Michelle Fiorito Groene, RPH
• Elias Amir Halwaji, DDS
• Merle Curtis Helgeson, D.C.
• Heritage Dental Center - Crescent Springs LLC
• Hope Behavioral Health, LLC
• Nine-Keng Monica Hsu, ND
• Ivx Health of Kentucky, PLLC (IVX Health)
• Anne Kellogg, PHARMD

• Dental Clinic/Center in Crescent Springs, KY
• Providers in Crescent Springs, 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 Feb 5, 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.