Heritage Dental Center - Mall Rd LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HERITAGE DENTAL CENTER - MALL RD LLC

Practice address

8197 Mall Rd
Florence, KY 41042-3428

Phone

(859) 918-5760

NPI assigned

Feb 5, 2024

Organization subpart

Yes

Parent organization

HERITAGE DENTAL CENTER, CORP.As reported in NPPES

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

Authorized official

Name

Brittany Reddinger

Title

Business Manager

Phone

(859) 991-7816

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Shraddha Kulkarni, D.M.D.

  • Dentist
  • Boulder, CO
  • NPI 1518576438
  NPD
• Charity Anne-Omosivwe Barth-Murkison, DMD

  • General Practice Dentistry
  • Cincinnati, OH
  • NPI 1982704656
  NPD (past)

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1891558508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8197 MALL RD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8197 MALL RD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423428",
            "telephone_number": "859-918-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE DENTAL CENTER - MALL RD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE DENTAL CENTER, CORP.",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "REDDINGER",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "859-991-7816"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Marie Henson
• Mary K Henthorn, OT
• Robert Jamey Herbst, DPM
• Laura Herfel, DMD
• Megan Herfel, DMD
• Carrie Elizabeth Herthel, APRN
• Jason Hibbard, MSW, CSW
• Logan Hamilton Hickey, MD
• Brittany Reese Higgins
• Melanie Carol Hiler, LPCC-S

• Dental Clinic/Center in Florence, KY
• Providers in Florence, KY by specialty
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.