Sterling Family Dental Care, LLC

Organization Active NPI General Practice Dentistry · Mt Sterling, KY

NPI 1720133879 · NPPES record last updated Sep 26, 2011

Key facts

NPI
1720133879
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
7057 (KY)
Legal business name
STERLING FAMILY DENTAL CARE, LLC
Practice address
100 E High St
Mt Sterling, KY 40353-1214
Phone
(859) 498-7130
Fax
(859) 498-7138
NPI assigned
Jan 25, 2007
Organization subpart
No

Authorized official

Name
Dr. Jon Kelly Johnson, D.M.D. NPI 1760765770
Title
Dentist Direct Owner
Phone
(859) 498-7130

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

100 E High St
Mt Sterling, KY 40353
Phone (859) 498-7130

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 7057 KY Yes

Addresses

Primary practice location

100 E High St
Mt Sterling, KY 40353-1214

Mailing address

100 E High St
Mt Sterling, KY 40353-1214
Phone (859) 498-7130

Other identifiers

IdentifierTypeStateIssuer
60070570MedicaidKY

Other providers in Mt Sterling, KY

All providers in Mt Sterling, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.