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Elm Pediatric Dentistry, Pllc
Pediatric Dentist in Crestwood, Kentucky
NPI 1578255055

Elm Pediatric Dentistry, Pllc is a Pediatric Dentist based in La Grange, KY and is specialized in Pediatric Dentistry. Elm Pediatric Dentistry, Pllc practices in Crestwood, KY. The NPI Number for Elm Pediatric Dentistry, Pllc is 1578255055 and holds a License No. (Kentucky).

The current practice location address for Elm Pediatric Dentistry, Pllc is 6400 Westwind Way Ste C, Crestwood, KY and can be reached out via phone at 502-754-6633 and via fax at 859-207-5102.

Location: 6400 Westwind Way Ste C, Crestwood, KY, 40031-1373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578255055
Provider Name
Elm Pediatric Dentistry, Pllc
Credential
Provider Entity Type
Organization
Address
6400 Westwind Way Ste C, Crestwood, KY, 40031-1373
Phone Number
502-754-6633
Fax Number
859-207-5102
Provider Enumeration Date
05/23/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6400 Westwind Way Ste C
City
Crestwood
State
Kentucky
Zip
40014-6773
Phone Number
502-754-6633
Fax Number
859-207-5102
person
Provider Business Mailing Address Details
Address
6400 Westwind Way Ste C
City
Crestwood
State
Kentucky
Zip
40014-6773
Phone Number
502-754-6633
Fax Number
859-207-5102
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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