Aljukic Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ALJUKIC PEDIATRIC DENTISTRY PLLC

Doing business as

Pediatric Dental Group of Louisville

Practice address

9710 Park Plaza Ave Unit 101
Louisville, KY 40241-2292

Phone

(502) 327-6380

Fax

(502) 327-8650

NPI assigned

Jun 29, 2022

Last updated

Jun 29, 2022By 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

Mrs. Regina Kurtz

Title

Office Manager

Phone

(502) 327-6380

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Dental Group of Louisville Doing business as

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.

• Haska Aljukic, DMD, MSD

  • Pediatric Dentistry
  • Louisville, KY
  • NPI 1942651088
  NPD
• Priscilla Johns Bond, DMD

  • Pediatric Dentistry
  • Louisville, KY
  • NPI 1487644274
  NPD (past)
• Thomas Glenn Ison, DMD

  • Pediatric Dentistry
  • Newburgh, IN
  • NPI 1831188382
  NPD (past)

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1942932694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 PARK PLAZA AVE UNIT 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412292",
            "telephone_number": "502-327-6380",
            "fax_number": "502-327-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 PARK PLAZA AVE UNIT 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412292",
            "telephone_number": "502-327-6380",
            "fax_number": "502-327-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALJUKIC PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-327-6380",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dental Group of Louisville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Align Your Spine Chiropractic
• Yaberemi Emmanuella Aliu
• Albaraa Abdullah Aljerian, M.D.
• Fahad Khaled Aljindan, MD
• Abdulmajeed Abdullah Aljuhiman, MD
• Haska Aljukic, DMD, MSD
• Saud A Alkabbaa, MD
• Ali Majed Alkafaji
• Laian Alkeisi, CSW
• Bassel Alkhalil, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.