Organization Active NPI

Kentuckiana Biodent

  • Dentist
  • Jeffersonville, IN
National Provider Identifier
1932913365
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KENTUCKIANA BIODENT
Practice address
405 E Court Ave Ste 110
Jeffersonville, IN 47130-3474
Phone
(812) 285-1781
Fax
(812) 291-5609
NPI assigned
Feb 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Dr. Robert E. Harris Jr., DMD
Title
Doctor
Phone
(812) 285-1781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

405 E Court Ave Ste 110
Jeffersonville, IN 47130-3474

Mailing address

405 E Court Ave Ste 110
Jeffersonville, IN 47130-3474
Phone (812) 285-1781

National Provider Directory

National Provider Directory

Locations

405 E Court Ave
Ste 110
Jeffersonville, IN 47130
Phone (812) 285-1781

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1932913365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E COURT AVE STE 110",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303474",
            "telephone_number": "812-285-1781",
            "fax_number": "812-291-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E COURT AVE STE 110",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303474",
            "telephone_number": "812-285-1781",
            "fax_number": "812-291-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKIANA BIODENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "812-285-1781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.