OrganizationActive
Dental Professional of Kentucky Psc
NPI 1285798058 · Dentist · Georgetown, KY
Dental Professional of Kentucky Psc is a Dentist organization in Georgetown, KY (NPI 1285798058).
Provider details
- NPI number
- 1285798058
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Amy Kroeger, Ins Cood(217) 540-5100
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
240 Blossom Park Dr
Suite 1
Georgetown, KY 40324-9079
Phone: (502) 570-8778
Fax: (502) 570-8878
Street-level locationGet directions
Mailing address
240 Blossom Park Dr
Georgetown, KY 40324-9079
Other names (DBA / former)
- Doing business as
- Creative Smiles - Georgetown
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2020-08-22
Frequently asked questions
- What is Dental Professional of Kentucky Psc's NPI number?
- Dental Professional of Kentucky Psc's National Provider Identifier (NPI) is 1285798058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Professional of Kentucky Psc?
- Dental Professional of Kentucky Psc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Dental Professional of Kentucky Psc located?
- Dental Professional of Kentucky Psc's practice location on file with NPPES is 240 Blossom Park Dr, Georgetown, KY 40324-9079.
- What is Dental Professional of Kentucky Psc's phone number?
- The practice phone number listed in the NPPES registry for Dental Professional of Kentucky Psc is (502) 570-8778.
- Who is the authorized official for Dental Professional of Kentucky Psc?
- The authorized official listed on Dental Professional of Kentucky Psc's NPPES record is Amy Kroeger, Ins Cood. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental Professional of Kentucky Psc's NPI active?
- Yes — Dental Professional of Kentucky Psc's NPI (1285798058) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.