OrganizationActive
Main Street Dental, LLC
NPI 1588909642 · Dental Clinic/Center · Vine Grove, KY
Main Street Dental, LLC is a Dental Clinic/Center organization in Vine Grove, KY (NPI 1588909642).
Provider details
- NPI number
- 1588909642
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Corkran, Gm/Owner(270) 877-2011
- License
- KY6807 (KY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
201 W Main St
Vine Grove, KY 40175-1304
Phone: (270) 877-2011
Street-level locationGet directions
Mailing address
201 W Main St
Vine Grove, KY 40175-1304
Other names (DBA / former)
- Former legal business name
- Main Street Dental, LLC
Registry dates
- Enumerated
- 2012-11-30
- Last updated
- 2014-02-12
Frequently asked questions
- What is Main Street Dental, LLC's NPI number?
- Main Street Dental, LLC's National Provider Identifier (NPI) is 1588909642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Dental, LLC?
- Main Street Dental, LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Main Street Dental, LLC located?
- Main Street Dental, LLC's practice location on file with NPPES is 201 W Main St, Vine Grove, KY 40175-1304.
- What is Main Street Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Main Street Dental, LLC is (270) 877-2011.
- Who is the authorized official for Main Street Dental, LLC?
- The authorized official listed on Main Street Dental, LLC's NPPES record is Jeffrey Corkran, Gm/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Dental, LLC's NPI active?
- Yes — Main Street Dental, LLC's NPI (1588909642) is active in the NPPES registry as of the last update on 2014-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.