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Dhda Providerco, PLLC — NPI 1902432537, Prospect, KY | NPI Central

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NPI 1902432537

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Dhda Providerco, PLLC

NPI 1902432537 · General Practice Dentistry · Prospect, KY

Provider details

NPI number: 1902432537
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Parent organization: Dhda Providerco, PLLC
Organization subpart: Yes
Authorized official: Paul Lavelle, Sole Member(502) 228-0404

Specialties & taxonomies

General Practice DentistryPrimary1223G0001X
Dental Providers

Practice location

13104 W Highway 42

Prospect, KY 40059-9102

Phone: (502) 228-0234

Approximate (ZIP-level) locationGet directions

More KY providers

Mailing address

13104 W Highway 42

Prospect, KY 40059-9102

Other names (DBA / former)

Doing business as: Lavelle Family & Cosmetic Dentistry

Registry dates

Enumerated: 2020-03-16
Last updated: 2020-03-16
Certified: 2020-03-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.