Paintsville Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PAINTSVILLE DENTAL CENTER

Practice address

830 S Mayo TRL
Paintsville, KY 41240-1384

Phone

(606) 372-5000

NPI assigned

Nov 2, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Justin Wayne Pratt, DMDNPI 1225264039

Title

Dentist/Owner

Phone

(606) 372-5000

Specialties & licenses 1

Addresses

Practitioners 1

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

• Justin W Pratt, DMD

  • General Practice Dentistry
  • Paintsville, KY
  • NPI 1225264039
  NPD Authorized official

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1902679780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S MAYO TRL",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401384",
            "telephone_number": "606-372-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S MAYO TRL",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401384",
            "telephone_number": "606-372-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINTSVILLE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "606-372-5000",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Optimum Wellness Center
• Clayton Thomas Osborne
• Barbara Sue Ousley, BA, CADC, CSS
• Phillip E Pack, M.S.
• Paintsville Behavioral Health, Inc
• Paintsville Emergency Group LLC
• Paintsville High School
• Paintsville Hma Physician Management, LLC
• Paintsville Hma Physician Mangament
• Paintsville Hospital Company, LLC

• Dental Clinic/Center in Paintsville, KY
• Providers in Paintsville, 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 Nov 2, 2023; 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.