Colgan Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

COLGAN PEDIATRIC DENTISTRY

Practice address

2850 Lone Oak Rd Ste 1
Paducah, KY 42003-8043

Phone

(270) 554-0124

Fax

(270) 554-0124

NPI assigned

May 4, 2018

Last updated

May 4, 2018By 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

Dana Michelle Walls

Title

Office Manager

Phone

(270) 554-3131

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Anthony Colgan Jr., D.M.D

  • Pediatric Dentistry
  • Paducah, KY
  • NPI 1073868998
  NPD (past)
• Justin Colgan, DMD

  • Pediatric Dentistry
  • Paducah, KY
  • NPI 1578911087
  NPD (past)
• James Dennis Johnston, D.D.S.

  • Pediatric Dentistry
  • Paducah, KY
  • NPI 1346491313
  NPD (past)

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1770072860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 LONE OAK RD STE 1",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038043",
            "telephone_number": "270-554-0124",
            "fax_number": "270-554-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 LONE OAK RD STE 1",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038043",
            "telephone_number": "270-554-0124",
            "fax_number": "270-554-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLGAN PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-554-3131"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan J Colburn Jr.
• Chelsea Cole, FNP
• Kandice Renee Cole, APRN FNP-C
• Edward Joseph Coleman, M.D.
• John Anthony Colgan Jr., D.M.D
• John A Colgan, DMD, MS, PSC
• Justin Colgan, DMD
• Morgan Kellie Colley
• Anthony B Collins, LCSW
• Dana Martin Collins, P.T.

• Pediatric Dentistry in Paducah, KY
• Providers in Paducah, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.