OrganizationActive
Commonwealth Periodontics & Implant Center
NPI 1053767053 · Periodontics · London, KY
Commonwealth Periodontics & Implant Center is a Periodontics organization in London, KY (NPI 1053767053).
Provider details
- NPI number
- 1053767053
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Krista Paul, Financial Coordinator(606) 878-1971
- License
- 6224 (KY)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1545 S Main St
London, KY 40741-2071
Phone: (606) 878-1971
Fax: (606) 864-8774
Street-level locationGet directions
Mailing address
1545 S Main St
London, KY 40741-2071
Registry dates
- Enumerated
- 2016-05-09
- Last updated
- 2016-05-09
Frequently asked questions
- What is Commonwealth Periodontics & Implant Center's NPI number?
- Commonwealth Periodontics & Implant Center's National Provider Identifier (NPI) is 1053767053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Commonwealth Periodontics & Implant Center?
- Commonwealth Periodontics & Implant Center is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Commonwealth Periodontics & Implant Center located?
- Commonwealth Periodontics & Implant Center's practice location on file with NPPES is 1545 S Main St, London, KY 40741-2071.
- What is Commonwealth Periodontics & Implant Center's phone number?
- The practice phone number listed in the NPPES registry for Commonwealth Periodontics & Implant Center is (606) 878-1971.
- Who is the authorized official for Commonwealth Periodontics & Implant Center?
- The authorized official listed on Commonwealth Periodontics & Implant Center's NPPES record is Krista Paul, Financial Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Commonwealth Periodontics & Implant Center's NPI active?
- Yes — Commonwealth Periodontics & Implant Center's NPI (1053767053) is active in the NPPES registry as of the last update on 2016-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.