Danville Pediatric Dentistry, Psc
Pediatric Dental Clinic
1080 Ben Ali Dr, Suite A, Danville
Kentucky, 40422-8937
859-236-6900 859-236-6997
Maps & DirectionsDanville Pediatric Dentistry, Psc is a Pediatric Dental Clinic in Danville, Kentucky. It is located at 1080 Ben Ali Dr, Suite A, Danville, KY and its contact number is 859-236-6900. The authorized person for Danville Pediatric Dentistry, Psc is Jeffrey T Johnson
who is Owner of the clinic and their contact number is 859-236-6900. The primary license number for Danville Pediatric Dentistry, Psc is 7737 (General Practice) in Kentucky.
Danville Pediatric Dentistry, Psc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Danville Pediatric Dentistry, Psc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Danville Pediatric Dentistry, Psc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 1080 Ben Ali Dr, Suite A, Danville,
Kentucky, 40422-8937 |
| Phone: | 859-236-6900 |
| Fax: | 859-236-6997 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Jeffrey T Johnson |
| Position: | Owner |
| Contact Number: | 859-236-6900 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Danville Pediatric Dentistry, Psc clinic are as mentioned below.
| NPI Number: | 1760772230 |
| NPI Enumeration Date: | 18 Apr, 2011 |
| NPI Last Update On: | 25 Oct, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Danville Pediatric Dentistry, Psc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 7737 | Kentucky | Primary | |
| Pediatric Dentistry | 7737 | Kentucky | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1223P0221X | Medicaid | Kentucky | |
| 1223G0001X | Other | Kentucky | Epsdt |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Danville Pediatric Dentistry, Psc
1080 Ben Ali Dr, Suite A
Danville, Kentucky |
| Zip: | 40422-8937 |
| Phone Number: | 859-236-6900 |
| Fax Number: | 859-236-6997 |
Patients can reach Danville Pediatric Dentistry, Psc at
1080 Ben Ali Dr, Suite A, Danville, Kentucky or can
call to book an appointment on 859-236-6900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.