| Modern Kids Dentistry Of Nicholasville | |
|
611 N Main St Nicholasville KY 40356-1025 | |
| (859) 759-4428 | |
| Not Available |
| Full Name | Modern Kids Dentistry Of Nicholasville |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 611 N Main St, Nicholasville, Kentucky |
| Authorized Official Name and Position | Justin Michael Raybould (MANAGER) |
| Authorized Official Contact | 8593217051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Kids Dentistry Of Nicholasville 611 N Main St Nicholasville KY 40356-1025 Ph: (859) 759-4428 | Modern Kids Dentistry Of Nicholasville 611 N Main St Nicholasville KY 40356-1025 Ph: (859) 759-4428 |
| NPI Number | 1851821854 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851821854 | NPI | - | NPPES |
| 7100342680 | Medicaid | KY | |
| 7100123440 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8732 (Kentucky) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 8778 (Kentucky) | Primary |
Magnolia Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Bethel Harvest Dr, Nicholasville, KY 40356 Phone: 859-800-8090 Fax: 859-810-6681 | |
Wheeler Dre Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Fairfield Dr, Nicholasville, KY 40356 Phone: 859-885-0086 | |
Quintero Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 547 East Brannon Rd, Nicholasville, KY 40356 Phone: 407-718-8553 | |
David E Smith Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 938 S Main St, Nicholasville, KY 40340 Phone: 859-887-4008 Fax: 859-885-6212 | |
Heckman Dental Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 Bryant Dr, Nicholasville, KY 40356 Phone: 859-885-0100 | |
Jessamine Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Lake St, Nicholasville, KY 40356 Phone: 859-885-5703 Fax: 859-885-5703 | |
Comfort Hold Dentures Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 N Main St Ste B, Nicholasville, KY 40356 Phone: 859-885-0070 |