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

Community Care of Kentucky, Inc

Organization General Practice Dentistry · NPI 1811375785

Community Care of Kentucky, Inc provides General Practice Dentistry in Louisville, 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

2500 W Broadway Ste 100
Louisville, KY 40211-1184
Phone: (502) 776-1754
Fax: (502) 778-2301
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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

Record details

NPI number1811375785
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenell Stump — Manager, Licensing & Credentialing · (629) 999-5006
NPI enumeratedMay 12, 2015
Last updated in NPPESMay 7, 2018
Mailing addressPo Box 2369, Anniston, AL 36202-2369

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