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

Elm Pediatric Dentistry of Northern Kentucky PLLC

Organization Pediatric Dentistry · NPI 1992505739

Elm Pediatric Dentistry of Northern Kentucky PLLC provides Pediatric Dentistry in Independence, Kentucky. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1986 Walton Nicholson Pike
Independence, KY 41051-7906
Phone: (859) 356-5555
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1992505739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Austin Rodenberg — Owner · (270) 572-9309
NPI enumeratedMarch 18, 2025
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address934 Woodland Ridge Cir, La Grange, KY 40031-1373