OrganizationActive
Wise Dentistry for Kids, Psc
NPI 1790075166 · Pediatric Dentistry · Campbellsville, KY
Wise Dentistry for Kids, Psc is a Pediatric Dentistry organization in Campbellsville, KY (NPI 1790075166).
Provider details
- NPI number
- 1790075166
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Heather Wise, Owner/Dentist(270) 469-1403
- License
- 8254 (KY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
105 Medical Park Dr
Suite 1
Campbellsville, KY 42718-9622
Phone: (270) 469-1403
Fax: (270) 469-1405
Approximate (ZIP-level) locationGet directions
Mailing address
105 Medical Park Drive
Campbellsville, KY 42718
Registry dates
- Enumerated
- 2011-04-19
- Last updated
- 2011-04-19
Frequently asked questions
- What is Wise Dentistry for Kids, Psc's NPI number?
- Wise Dentistry for Kids, Psc's National Provider Identifier (NPI) is 1790075166, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wise Dentistry for Kids, Psc?
- Wise Dentistry for Kids, Psc is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Wise Dentistry for Kids, Psc located?
- Wise Dentistry for Kids, Psc's practice location on file with NPPES is 105 Medical Park Dr, Campbellsville, KY 42718-9622.
- What is Wise Dentistry for Kids, Psc's phone number?
- The practice phone number listed in the NPPES registry for Wise Dentistry for Kids, Psc is (270) 469-1403.
- Who is the authorized official for Wise Dentistry for Kids, Psc?
- The authorized official listed on Wise Dentistry for Kids, Psc's NPPES record is Heather Wise, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wise Dentistry for Kids, Psc's NPI active?
- Yes — Wise Dentistry for Kids, Psc's NPI (1790075166) is active in the NPPES registry as of the last update on 2011-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.