OrganizationActive
Dental Services of Kentucky, Psc
NPI 1023544236 · Dentist · Shively, KY
Provider details
- NPI number
- 1023544236
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jacquelynn Adkins, Sr. Accounting Manager(913) 428-1684
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4420 Dixie Hwy Ste 110
Shively, KY 40216
Phone: (913) 428-1684
Street-level locationGet directions
Mailing address
Po Box 11568
Overland Park, KS 66207-4268
Other names (DBA / former)
- Doing business as
- Immediadent
- Doing business as
- Immediadent
Additional practice locations (1)
- 10601 Mission RdSte 240Leawood, KS 66206-2704Phone: (913) 428-1686Fax: (866) 591-0604
Registry dates
- Enumerated
- 2017-05-08
- Last updated
- 2019-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.