Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breathitt Dental Clinic PSC

Organization General Practice Dentistry · NPI 1942577697

Breathitt Dental Clinic PSC provides General Practice Dentistry in Jackson, Kentucky. Licensed in Kentucky. Registered with an NPI since 2011.

Licensed in
KY
In the registry since
2011
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

221 Highway 15 S
Jackson, KY 41339-9600 Not confirmed with CMS for 14 years — call before visiting
Phone: (606) 666-4020
Fax: (606) 666-4021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6753 (KY)

Record details

NPI number1942577697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Campbell — Owner · (606) 666-4020
NPI enumeratedNovember 23, 2011
Last updated in NPPESNovember 23, 2011
Mailing addressPo Box 854, Hazard, KY 41702-0854

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