NPIMap

Organization Active NPI

Dental Health Professionals of Kentucky, P.S.C.

  • General Practice Dentistry
  • Mount Sterling, KY
National Provider Identifier
1972023158
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
Practice address
122 Stone Trace Dr Ste a
Mount Sterling, KY 40353-7500
Phone
(859) 497-4444
NPI assigned
Jun 20, 2017
Organization subpart
Yes
Parent organization
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Cassandra Teutsch
Title
Credentialing Coordinator
Phone
(217) 540-8972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

122 Stone Trace Dr Ste a
Mount Sterling, KY 40353-7500

Mailing address

122 Stone Trace Dr Ste a
Mount Sterling, KY 40353-7500
Phone (859) 497-4444

Other names 1

  • Mt. Sterling Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heartland Dental Care of Kentucky - Mathew Cliburn DMD PSC19 organizations share this tax ID, including this one
Part of
Heartland Dental Care of Kentucky - Mathew Cliburn DMD PSC

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972023158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 STONE TRACE DR STE A",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403537500",
            "telephone_number": "859-497-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 STONE TRACE DR STE A",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403537500",
            "telephone_number": "859-497-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TEUTSCH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8972"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Sterling Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Sterling, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.