OrganizationActive
Associates in Dentistry, LLC
NPI 1104999218 · General Practice Dentistry · Russell Springs, KY
Provider details
- NPI number
- 1104999218
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kyle Stewart, Partner(270) 866-8891
- License
- 5243 (KY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2289 Lakeway Dr.
Suite 5
Russell Springs, KY 42642-0858
Phone: (270) 866-8891
Street-level locationGet directions
Mailing address
Po Box 858
Russell Springs, KY 42642-0858
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2013-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.