Modern Kids Dentistry Of Elizabethtown, Pllc is a Pediatric Dental Clinic in Elizabethtown, Kentucky. It is located at 151 Drexler Cir # A, Elizabethtown, KY and its contact number is 859-608-1579. The authorized person for Modern Kids Dentistry Of Elizabethtown, Pllc is Dr. Justin Michael Raybould
who is Owner/manager of the clinic and their contact number is 859-321-7051. Modern Kids Dentistry Of Elizabethtown, Pllc 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:
Modern Kids Dentistry Of Elizabethtown, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Modern Kids Dentistry Of Elizabethtown, Pllc
Specialization:
Pediatric Dentistry
Clinic Address:
151 Drexler Cir # A, Elizabethtown, Kentucky, 42701-7843
Phone:
859-608-1579
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:
Dr. Justin Michael Raybould
Position:
Owner/manager
Contact Number:
859-321-7051
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 Modern Kids Dentistry Of Elizabethtown, Pllc clinic are as mentioned below.
NPI Number:
1285299149
NPI Enumeration Date:
07 May, 2019
NPI Last Update On:
07 May, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Modern Kids Dentistry Of Elizabethtown, Pllc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
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
7100342680
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:
Modern Kids Dentistry Of Elizabethtown, Pllc Po Box 23293, Lexington, Kentucky
Zip:
40523-3293
Phone Number:
859-321-7051
Patients can reach Modern Kids Dentistry Of Elizabethtown, Pllc at 151 Drexler Cir # A, Elizabethtown, Kentucky or can call to book an appointment on 859-608-1579. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.