# DHDA HFD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DHDA PROVIDERCO, PLLC
- **Other names:** Highland Family Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386234672
- **Legal business name:** DHDA PROVIDERCO, PLLC
- **Authorized official:** PAUL T LAVELLE DMD (CLINICAL DIRECTOR)
- **Authorized official phone:** (203) 921-6141

## Contact information

- **Practice address:** 20 N GRAND AVE STE 10AND11, FORT THOMAS, KY 41075-4106
- **Practice address phone:** (203) 921-6141
- **Mailing address:** 5404 FARM RIDGE LN, PROSPECT, KY 40059-7617
- **Mailing address phone:** (203) 921-6141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2021
- **Last updated:** 01/21/2021