Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Community Care of Kentucky, Inc

Organization General Practice Dentistry · NPI 1053799080

Community Care of Kentucky, Inc provides General Practice Dentistry in Madisonville, Kentucky. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1175 S Main St Ste 4
Madisonville, KY 42431-3337
Phone: (270) 383-5511
Fax: (270) 821-9602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1053799080
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenell Stump — Manager, Licensing & Credentialing · (629) 999-5006
NPI enumeratedMay 11, 2015
Last updated in NPPESMay 7, 2018
Mailing addressPo Box 2369, Anniston, AL 36202-2369

Other providers in Madisonville