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

Pediatric Dentistry of Shelbyville

Organization General Practice Dentistry · NPI 1770748790

Pediatric Dentistry of Shelbyville provides General Practice Dentistry in Shelbyville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2008.

Licensed in
KY
In the registry since
2008
Specialties on file
2

Practice location Address checks out

141 Stonecrest Rd
Shelbyville, KY 40065-8164 Not confirmed with CMS for 17 years — call before visiting
Phone: (502) 633-4441
Fax: (502) 633-4470
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 7601 (KY)
General Practice Dentistry Taxonomy 1223G0001X · Licence 7277 (KY)

Record details

NPI number1770748790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Raisor — Office Manager · (502) 633-4441
NPI enumeratedJuly 21, 2008
Last updated in NPPESOctober 8, 2009
Mailing address141 Stonecrest Rd, Shelbyville, KY 40065-8164

Other providers in Shelbyville