Organization Active NPI

Union County Family Dental, PLLC

Doing business as Union County Family Dental

  • Dental Clinic/Center
  • Morganfield, KY
National Provider Identifier
1881281582
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
UNION COUNTY FAMILY DENTAL, PLLC
Doing business as
Union County Family Dental
Practice address
114 N Brady St
Morganfield, KY 42437-1502
Phone
(270) 389-2290
Fax
(270) 389-2290
NPI assigned
Dec 29, 2020
Last updated
Dec 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Dr. Laura B Beth Hancock Jones, DMD
Title
Owner Dentist
Phone
(270) 389-2290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

114 N Brady St
Morganfield, KY 42437-1502

Mailing address

114 N Brady St
Morganfield, KY 42437-1502
Phone (270) 389-2290

Other identifiers 1

IdentifierTypeStateIssuer
7100052080MedicaidKY

Other names 1

  • Union County Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

114 N Brady St
Morganfield, KY 42437
Phone (270) 389-2290

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1881281582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N BRADY ST",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "424371502",
            "telephone_number": "270-389-2290",
            "fax_number": "270-389-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N BRADY ST",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "424371502",
            "telephone_number": "270-389-2290",
            "fax_number": "270-389-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COUNTY FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "HANCOCK JONES",
        "authorized_official_first_name": "LAURA B",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "270-389-2290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100052080",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union County Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morganfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.