OrganizationActive
Periodontic & Endodontic Services
NPI 1609054584 · Dental Clinic/Center · Middletown, KY
Provider details
- NPI number
- 1609054584
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Steve James, Coo(502) 254-8504
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
11708 Main St
Middletown, KY 40243-1426
Phone: (502) 410-1702
Street-level locationGet directions
Mailing address
Po Box 437169
Louisville, KY 40253-7169
Registry dates
- Enumerated
- 2008-02-04
- Last updated
- 2008-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.