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

Modern Kids Dentistry of Nicholasville

Organization Pediatric Dentistry · NPI 1851821854

Modern Kids Dentistry of Nicholasville provides Pediatric Dentistry in Nicholasville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2017.

Licensed in
KY
In the registry since
2017
Specialties on file
2

Practice location Address checks out

611 N Main St
Nicholasville, KY 40356-1025
Phone: (859) 759-4428
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 8778 (KY)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 8732 (KY)

Record details

NPI number1851821854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Raybould — Manager · (859) 321-7051
NPI enumeratedJune 13, 2017
Last updated in NPPESJuly 21, 2022
Mailing address611 N Main St, Nicholasville, KY 40356-1025

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