Kentuckiana Pediatric Dentistry
Pediatric Dental Clinic
211 High Point Ct Ste 500, Mt Washington
Kentucky, 40047-5559
502-538-2400 502-538-2403
Maps & DirectionsKentuckiana Pediatric Dentistry is a Pediatric Dental Clinic in Mt Washington, Kentucky. It is located at 211 High Point Ct Ste 500, Mt Washington, KY and its contact number is 502-538-2400. The authorized person for Kentuckiana Pediatric Dentistry is Jonathan Tyler Simms
who is Practice Manager of the clinic and their contact number is 502-538-2400. The primary license number for Kentuckiana Pediatric Dentistry is 8111 (Pediatric Dentistry) in Kentucky.
Kentuckiana Pediatric Dentistry 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:
Kentuckiana Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Kentuckiana Pediatric Dentistry |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 211 High Point Ct Ste 500, Mt Washington,
Kentucky, 40047-5559 |
| Phone: | 502-538-2400 |
| Fax: | 502-538-2403 |
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: | Jonathan Tyler Simms |
| Position: | Practice Manager |
| Contact Number: | 502-538-2400 |
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 Kentuckiana Pediatric Dentistry clinic are as mentioned below.
| NPI Number: | 1851785877 |
| NPI Enumeration Date: | 27 Mar, 2015 |
| NPI Last Update On: | 27 Mar, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kentuckiana Pediatric Dentistry are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 8111 | Kentucky | Primary | |
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 |
| 7100071020 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kentuckiana Pediatric Dentistry
211 High Point Ct Ste 500,
Mt Washington, Kentucky |
| Zip: | 40047-5559 |
| Phone Number: | 502-538-2400 |
| Fax Number: | 502-538-2403 |
Patients can reach Kentuckiana Pediatric Dentistry at
211 High Point Ct Ste 500, Mt Washington, Kentucky or can
call to book an appointment on 502-538-2400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.