# STERLING FAMILY DENTAL CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720133879
- **Authorized official:** DR. JON KELLY JOHNSON D.M.D. (DENTIST DIRECT OWNER)
- **Authorized official phone:** (859) 498-7130

## Contact information

- **Practice address:** 100 E HIGH ST, MT STERLING, KY 40353-1214
- **Practice address phone:** (859) 498-7130
- **Practice address fax:** (859) 498-7138
- **Mailing address:** 100 E HIGH ST, MT STERLING, KY 40353-1214
- **Mailing address phone:** (859) 498-7130
- **Mailing address fax:** (859) 498-7138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7057 | KY | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 09/26/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60070570 | — | KY |