OrganizationActive
Modern Kids Dentistry
NPI 1174912224 · Pediatric Dentistry · Lexington, KY
Modern Kids Dentistry is a Pediatric Dentistry organization in Lexington, KY (NPI 1174912224).
Provider details
- NPI number
- 1174912224
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Justin Raybould, President/Ceo(859) 321-7051
- License
- 8732 (KY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
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
4384 Clearwater Way
Suite 150
Lexington, KY 40515-6477
Phone: (859) 321-7051
Street-level locationGet directions
Mailing address
725 Beechmont Rd
Lexington, KY 40502-2837
Registry dates
- Enumerated
- 2015-01-13
- Last updated
- 2015-04-13
Frequently asked questions
- What is Modern Kids Dentistry's NPI number?
- Modern Kids Dentistry's National Provider Identifier (NPI) is 1174912224, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Kids Dentistry?
- Modern Kids Dentistry is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Modern Kids Dentistry located?
- Modern Kids Dentistry's practice location on file with NPPES is 4384 Clearwater Way, Lexington, KY 40515-6477.
- What is Modern Kids Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Modern Kids Dentistry is (859) 321-7051.
- Who is the authorized official for Modern Kids Dentistry?
- The authorized official listed on Modern Kids Dentistry's NPPES record is Justin Raybould, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Kids Dentistry's NPI active?
- Yes — Modern Kids Dentistry's NPI (1174912224) is active in the NPPES registry as of the last update on 2015-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.