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

Modern Kids Dentistry of Elizabethtown, PLLC

Organization Pediatric Dentistry · NPI 1285299149

Modern Kids Dentistry of Elizabethtown, PLLC provides Pediatric Dentistry in Elizabethtown, Kentucky. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

151 Drexler Cir # A
Elizabethtown, KY 42701-7843
Phone: (859) 608-1579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1285299149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Raybould — Owner/Manager · (859) 321-7051
NPI enumeratedMay 7, 2019
Last updated in NPPESMay 7, 2019
Mailing addressPo Box 23293, Lexington, KY 40523-3293

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