# DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
- **Other names:** Dental Care at Triple Crown
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407744089
- **Legal business name:** DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
- **Authorized official:** CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 764-8609

## Contact information

- **Practice address:** 450 RICHWOOD RD STE 305, WALTON, KY 41094-7440
- **Practice address phone:** (859) 419-0768
- **Practice address fax:** (859) 419-0769
- **Mailing address:** 450 RICHWOOD RD STE 305, WALTON, KY 41094-7440
- **Mailing address phone:** (859) 419-0768

## Taxonomy

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

## Other

- **Enumeration date:** 06/24/2025
- **Last updated:** 06/24/2025