Pediatric Dentistry of Shelbyville
NPI 1770748790ActiveOrganization· Dentist, Pediatric Dentistry· Shelbyville, KY
Dentist, Pediatric Dentistry in Shelbyville, Kentucky, registered in NPPES in July 2008. The authorized official on file is Amy E. Raisor, Office Manager.
Overview
| NPI | 1770748790 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 21, 2008 |
| Last updated in NPPES | Oct 8, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 7601 | KY |
| Dentist, General Practice | 1223G0001X | 7277 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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