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NPI · 1104646983 · NPPES-sourced

Modern Kids Dentistry Of Louisville, PLLC

ActivePediatric Dentistry
NPI Number
1104646983
Type 2 · Organisation
Taxonomy Code
1223P0221X
Contact
(502) 245-8855
Primary practice line
Last Updated
About 19 months ago (Oct 2024)
Enumerated 2024-10-15
Primary practice addressKY · 40243-2426
129 Evergreen RdLouisville, KY 40243-2426
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About this NPIWhat this record shows.

NPI 1104646983 is registered to Modern Kids Dentistry Of Louisville, PLLC, a healthcare organisation classified as "Pediatric Dentistry" and located at 129 Evergreen Rd in Louisville, Kentucky. The organisation's authorised official is Justin Raybould. The organisation has been enumerated in the NPI registry since 2024.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2024-10-15
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Modern Kids Dentistry Of Louisville, PLLC accepts. To confirm in-network status with your specific health plan, contact Modern Kids Dentistry Of Louisville, PLLC directly at (502) 245-8855.

Frequently asked

Yes. NPI 1104646983 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatric Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (502) 245-8855.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Modern Kids Dentistry Of Louisville, PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy1223P0221X
Last updated2024-10
Enumerated2024-10-15
StatusActive
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