Provider Demographics
NPI:1487821666
Name:DENTISTRY TOMORROW, PSC
Entity Type:Organization
Organization Name:DENTISTRY TOMORROW, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:CLAY
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:859-234-4323
Mailing Address - Street 1:1606 US HIGHWAY 27 N
Mailing Address - Street 2:PO BOX 550
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-3718
Mailing Address - Country:US
Mailing Address - Phone:859-234-4323
Mailing Address - Fax:859-234-4303
Practice Address - Street 1:1606 US HIGHWAY 27 N
Practice Address - Street 2:
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-3718
Practice Address - Country:US
Practice Address - Phone:859-234-4323
Practice Address - Fax:859-234-4303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY67801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY61900114Medicaid