OrganizationActive
Modern Kids Dentistry of Louisville, PLLC
NPI 1104646983 · Pediatric Dentistry · Louisville, KY
Modern Kids Dentistry of Louisville, PLLC is a Pediatric Dentistry organization in Louisville, KY (NPI 1104646983).
Provider details
- NPI number
- 1104646983
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Justin Raybould, Owner(859) 321-7051
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
129 Evergreen Rd
Louisville, KY 40243-2426
Phone: (502) 245-8855
Street-level locationGet directions
Mailing address
129 Evergreen Rd
Louisville, KY 40243-2426
Registry dates
- Enumerated
- 2024-10-15
- Last updated
- 2024-10-15
- Certified
- 2024-10-15
Frequently asked questions
- What is Modern Kids Dentistry of Louisville, PLLC's NPI number?
- Modern Kids Dentistry of Louisville, PLLC's National Provider Identifier (NPI) is 1104646983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Kids Dentistry of Louisville, PLLC?
- Modern Kids Dentistry of Louisville, PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Modern Kids Dentistry of Louisville, PLLC located?
- Modern Kids Dentistry of Louisville, PLLC's practice location on file with NPPES is 129 Evergreen Rd, Louisville, KY 40243-2426.
- What is Modern Kids Dentistry of Louisville, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Modern Kids Dentistry of Louisville, PLLC is (502) 245-8855.
- Who is the authorized official for Modern Kids Dentistry of Louisville, PLLC?
- The authorized official listed on Modern Kids Dentistry of Louisville, PLLC's NPPES record is Justin Raybould, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Kids Dentistry of Louisville, PLLC's NPI active?
- Yes — Modern Kids Dentistry of Louisville, PLLC's NPI (1104646983) is active in the NPPES registry as of the last update on 2024-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.