Modern Kids Dentistry Of Nicholasville is a Pediatric Dental Clinic in Nicholasville, Kentucky. It is located at 611 N Main St, Nicholasville, KY and its contact number is 859-759-4428. The authorized person for Modern Kids Dentistry Of Nicholasville is Dr. Justin Michael Raybould
who is Manager of the clinic and their contact number is 859-321-7051. The primary license number for Modern Kids Dentistry Of Nicholasville is 8778 (Pediatric Dentistry) in Kentucky. Modern Kids Dentistry Of Nicholasville 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 Nicholasville 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 Nicholasville
Specialization:
Pediatric Dentistry
Clinic Address:
611 N Main St, Nicholasville, Kentucky, 40356-1025
Phone:
859-759-4428
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:
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 Nicholasville clinic are as mentioned below.
NPI Number:
1851821854
NPI Enumeration Date:
13 Jun, 2017
NPI Last Update On:
21 Jul, 2022
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 Nicholasville are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
8778
Kentucky
Primary
Pediatric Dentistry
8732
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
7100342680
Medicaid
Kentucky
7100123440
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 Nicholasville 611 N Main St, Nicholasville, Kentucky
Zip:
40356-1025
Phone Number:
859-759-4428
Patients can reach Modern Kids Dentistry Of Nicholasville at 611 N Main St, Nicholasville, Kentucky or can call to book an appointment on 859-759-4428. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.