Prospect Dental PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PROSPECT DENTAL PLC

Practice address

9207 US Highway 42 Ste F
Prospect, KY 40059-9391

Phone

(502) 228-4700

NPI assigned

Jan 9, 2024

Organization subpart

No

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

Authorized official

Name

Jenny Garcia-Rocha

Title

Sr Credentialing Team Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Sara Cummins Aesthetic & Implant Dentistry Doing business as

Locations

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1508637620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9207 US HIGHWAY 42 STE F",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599391",
            "telephone_number": "502-228-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9207 US HIGHWAY 42 STE F",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599391",
            "telephone_number": "502-228-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT DENTAL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "SR CREDENTIALING TEAM LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sara Cummins Aesthetic & Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phyllis Levon Powell
• Powerback Rehabilitation LLC
• Premier Orthotics Inc.
• Prorehab Louisville
• Prorehab of Louisville, LLC
• Prospect Pediatrics, PSC
• Maria Regina Puno, MD
• Erica Marie Quarles, M.ED, LPATA
• Irma Nydia Ramos, MD
• Isabelle Rastler-Cross

• General Practice Dentistry in Prospect, KY
• Providers in Prospect, 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 Jan 9, 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.