Proctor Family Dental Shively

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PROCTOR FAMILY DENTAL SHIVELY

Practice address

2300 Dixie Hwy
Louisville, KY 40216-5364

Phone

(270) 312-8003

NPI assigned

Oct 29, 2025

Organization subpart

No

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

Authorized official

Name

Sarah A Proctor, DMD

Title

Owner

Phone

(270) 312-8003

Specialties & licenses 1

Addresses

Tax ID family

Proctor Family 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.

• Proctor Family Dental

  • Dental Clinic/Center
  • Bardstown, KY
  • NPI 1043054554
  NPD tax ID

Locations

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1710855762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402165364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402165364",
            "telephone_number": "270-312-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCTOR FAMILY DENTAL SHIVELY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-312-8003",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Proapex
• Mary Katherine Schmoll Probst, PHARMD
• Michael Wayne Probst, RPH
• Shaun Probst, PHARMD
• Linda Probus
• Cylee Eryn Hart Proctor, LPCC
• Mary L Proctor Jr.
• Raquel Marie Proctor, AUD
• Prodigal Son Life Builders
• Professional Advocacy LLC

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, 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 Mar 31, 2026; 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.