Community Care of Kentucky, Inc
NPI 1053799080 · General Practice Dentistry · Madisonville, KY
Community Care of Kentucky, Inc is a General Practice Dentistry organization in Madisonville, KY (NPI 1053799080).
Provider details
- NPI number
- 1053799080
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jenell Stump, Manager, Licensing & Credentialing(629) 999-5006
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Registry dates
- Enumerated
- 2015-05-11
- Last updated
- 2018-05-07
Frequently asked questions
- What is Community Care of Kentucky, Inc's NPI number?
- Community Care of Kentucky, Inc's National Provider Identifier (NPI) is 1053799080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Care of Kentucky, Inc?
- Community Care of Kentucky, Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Community Care of Kentucky, Inc located?
- Community Care of Kentucky, Inc's practice location on file with NPPES is 1175 S Main St Ste 4, Madisonville, KY 42431-3337.
- What is Community Care of Kentucky, Inc's phone number?
- The practice phone number listed in the NPPES registry for Community Care of Kentucky, Inc is (270) 383-5511.
- Who is the authorized official for Community Care of Kentucky, Inc?
- The authorized official listed on Community Care of Kentucky, Inc's NPPES record is Jenell Stump, Manager, Licensing & Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Care of Kentucky, Inc's NPI active?
- Yes — Community Care of Kentucky, Inc's NPI (1053799080) is active in the NPPES registry as of the last update on 2018-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.