Active NPI
Ohio County Family Dentistry PLLC
- General Practice Dentistry
- Beaver Dam, KY
National Provider Identifier
1720444532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4281
- Legal business name
- OHIO COUNTY FAMILY DENTISTRY PLLC
- Practice address
- 1221 N Main St
Beaver Dam, KY 42320-8955 - Phone
- (270) 274-3379
- Fax
- (270) 274-4600
- NPI assigned
- Jan 8, 2016
- Last updated
- Jan 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Denise Stevens
- Title
- Office Manager
- Phone
- (270) 256-5757
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4281 | KY | Primary |
Addresses
Primary practice location
1221 N Main St
Beaver Dam, KY 42320-8955
Mailing address
1221 N Main St
Beaver Dam, KY 42320-8955
Phone (270) 274-3379
National Provider Directory
National Provider DirectoryLocations
1221 N Main St
Beaver Dam, KY 42320
Phone (270) 256-5911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452211200000",
"number": "1720444532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 N MAIN ST",
"city": "BEAVER DAM",
"state": "KY",
"postal_code": "423208955",
"telephone_number": "270-274-3379",
"fax_number": "270-274-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 N MAIN ST",
"city": "BEAVER DAM",
"state": "KY",
"postal_code": "423208955",
"telephone_number": "270-274-3379",
"fax_number": "270-274-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIO COUNTY FAMILY DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-08",
"last_updated": "2016-01-08",
"status": "A",
"authorized_official_last_name": "STEVENS",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "270-256-5757"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "4281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaver Dam, KY
- Bradford Elrod Mutchler, M.D.
- Shane Thomas Napier, DO
- Norsworthy Medical Assoc., PSC Nurse Practitioner Group
- Norsworthy Medical Associates PSC
- Eric A. Norsworthy, MD
- Ohio County Hospital Corporation (Ohio County Pain Care)
- Ohio County Hospital Corporation (Ohio County Healthcare Behavioral Health)
- Ohio County Hospital Corporation (Ohio County Family Care Beaver Dam)
- Michelle L. Osborne, APRN
- Owensboro Health Medical Group, Inc (Owensboro Health Wound Center-Ohio County)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.