Florence Modern Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FLORENCE MODERN DENTISTRY, PLLC

Practice address

7753 Mall Rd Ste E
Florence, KY 41042-3451

Phone

(859) 475-0849

Fax

(859) 475-0847

NPI assigned

Mar 12, 2024

Organization subpart

No

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

Authorized official

Name

Bach Nguyen, DDS

Title

Owner

Phone

(859) 475-0849

Specialties & licenses 1

Addresses

Other names 1

• Florence Modern Dentistry Doing business as

Locations

Practitioners 2

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

• Carolina Goyco, DMD

  • General Practice Dentistry
  • Florence, KY
  • NPI 1316641863
  NPD (past)
• Jaehee Hong, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Springboro, OH
  • NPI 1467905257

  General Practice

  NPD (past)

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1992563142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7753 MALL RD STE E",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423451",
            "telephone_number": "859-475-0849",
            "fax_number": "859-475-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE MODERN DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "BACH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-475-0849",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florence Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeff Flora
• Florence Chiropractic and Wellness Center, LCC
• Florence Chiropractic Center Inc.
• Florence Family Dental, Inc
• Florence Medical Group PSC
• Florence Park Opco LLC
• Florence Urgent Care
• April Maria Florence, COTA/L
• Kristen Fodi Gillespie, LPCC
• Rachel Brook Foltz, LMT

• General Practice Dentistry in Florence, KY
• Providers in Florence, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.