Kty Dental PSC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8709 Issued in KY

Legal business name

KTY DENTAL PSC

Doing business as

Aspen Dental

Practice address

500 Winchester Ave
Ste 420
Ashland, KY 41101-7362

Phone

(866) 273-8204

NPI assigned

May 17, 2012

Last updated

May 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Arwinder Judge, DDS

Title

Owner

Phone

(866) 273-8204

Specialties & licenses 1

Addresses

Other names 1

• Aspen Dental Doing business as

Tax ID family

Aspen Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Aspen Dental

  • General Practice Dentistry
  • Owensboro, KY
  • NPI 1548527179
  NPD tax ID

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1598025108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "866-273-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WINCHESTER AVE",
            "address_2": "STE 420",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017362",
            "telephone_number": "866-273-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTY DENTAL PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "ARWINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-273-8204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandeep Krishnan, MD
• Kristina Tussey, LLC
• Alexander Krivchenia, MD
• Kroger Limited Partnership I (Kroger Pharmacy)
• Kroger Limited Partnership I (Kroger Pharmacy)
• Mena Kualleny
• Eric W Kutcher, CRNA
• Anthony Kuzak
• Judie Marie Kwolek, M.D.
• Ky Doctors of Optometry, PLLC (KY Doctors of Optometry)

• General Practice Dentistry in Ashland, KY
• Providers in Ashland, 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 May 17, 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.