OrganizationActive
Kentuckiana Peds Dre LLC
NPI 1093580219 · Pediatric Dentistry · Mt Washington, KY
Kentuckiana Peds Dre LLC is a Pediatric Dentistry organization in Mt Washington, KY (NPI 1093580219).
Provider details
- NPI number
- 1093580219
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Elizabeth Davis, Director of Revenue(859) 533-1109
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
211 High Point Ct Ste 200
Mt Washington, KY 40047-5528
Phone: (502) 538-2400
Approximate (ZIP-level) locationGet directions
Mailing address
105 Spruce St
Lexington, KY 40507-2109
Registry dates
- Enumerated
- 2023-11-17
- Last updated
- 2023-11-17
- Certified
- 2023-11-17
Frequently asked questions
- What is Kentuckiana Peds Dre LLC's NPI number?
- Kentuckiana Peds Dre LLC's National Provider Identifier (NPI) is 1093580219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kentuckiana Peds Dre LLC?
- Kentuckiana Peds Dre LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Kentuckiana Peds Dre LLC located?
- Kentuckiana Peds Dre LLC's practice location on file with NPPES is 211 High Point Ct Ste 200, Mt Washington, KY 40047-5528.
- What is Kentuckiana Peds Dre LLC's phone number?
- The practice phone number listed in the NPPES registry for Kentuckiana Peds Dre LLC is (502) 538-2400.
- Who is the authorized official for Kentuckiana Peds Dre LLC?
- The authorized official listed on Kentuckiana Peds Dre LLC's NPPES record is Elizabeth Davis, Director of Revenue. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kentuckiana Peds Dre LLC's NPI active?
- Yes — Kentuckiana Peds Dre LLC's NPI (1093580219) is active in the NPPES registry as of the last update on 2023-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.