KOOL SMILES PSC (NPI# 1083992887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083992887 |
| Entity Type | Organization |
| Organization Name | KOOL SMILES PSC |
| Other Organization Name | RUBY DENTAL |
| Practice Address |
201 Towne Dr Elizabethtown KY 42701-8466 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 8009209947 |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2018-12-19 |
| Authorized Official Name | TU TRAN (PRESIDENT) |
| Authorized Official Telephone | 7709165036 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Ruby Dental | Doing Business As Name - Organization |
| Street Address |
201 TOWNE DR |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-8466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326576679 | Araz Ahmed Amedy | Dentist | 201 Towne Dr, Elizabethtown, KY 42701-8466 | 2017-05-31 |
| 1235581570 | Youjin Lee | Dentist | 201 Towne Dr, Elizabethtown, KY 42701-8466 | 2016-07-11 |
| 1801262456 | Jennifer Purpura Woodling | Dentist | 201 Towne Dr, Elizabethtown, KY 42701-8466 | 2015-08-18 |
| 1467833194 | Marcella Amanda Gleason | Dentist | 201 Towne Dr, Elizabethtown, KY 42701 | 2015-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669967162 | William Joseph Borowski | Dentist | 100 Continental Drive, Elizabethtown, PA 17022 | 2018-06-27 |
| 1215450184 | Robert Cleveland Gleason | Dentist | 3100 Ring Rd Ste 104, Elizabethtown, KY 42701-1282 | 2017-07-21 |
| 1275913584 | White Family Dental - Masonic Village Pllc | Dentist | 83 North Freemason Dr, Elizabethtown, PA 17022 | 2015-06-02 |
| 1467879031 | Jefferson Newbern, Dmd, Pllc | Dentist | 2030 N Dixie Hwy, Elizabethtown, KY 42701-9495 | 2014-03-21 |
| 1811332463 | Hammer and Vanzant Family Dentistry Psc | Dentist | 2405 Ring Road, Elizabethtown, KY 42701 | 2013-05-08 |
| 1003251455 | Ryan H Peace | Dentist | 2865 Ring Rd, Suite 100, Elizabethtown, KY 42701-9114 | 2013-04-29 |
| 1952659278 | Benko & Benko Associates | Dentist | 1083 Dairy Ln, Elizabethtown, PA 17022-9547 | 2012-08-16 |
| 1881924959 | Nicholas S Ising | Dentist | 1102 Woodland Dr, Elizabethtown, KY 42701-2750 | 2010-01-12 |
| 1437322492 | Community Health & Emergency Services, Inc. | Dentist | Il Route 146 Building 2, Elizabethtown, IL 62931 | 2008-04-10 |
| 1912189382 | Charles D. Allen, Jr., Dds, Pa | Dentist | 508 Mckay St, Elizabethtown, NC 28337-0235 | 2007-11-28 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on KOOL SMILES PSC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.