Organization
THRIVE PEDIATRIC DENTAL STUDIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN WHITE DMD (OWNER)
(502) 922-6118
Entity
Organization
Contact information
Practice address
2985 LIBERTY RD STE 14106, LEXINGTON, KY 40509-4669
(502) 922-6118
Mailing address
4035 N CLEVELAND RD, LEXINGTON, KY 40516-9766
(502) 922-9118
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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