Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRENT DOUGLAS KIDD, D.M.D.
Active Sole ProprietorDR. BRENT DOUGLAS KIDD, D.M.D. is a Pediatric Dentistry healthcare provider located in MOREHEAD, Kentucky. NPI 1255622692 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · MOREHEAD, KY
Registration Details
- NPI Number
- 1255622692
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2011 (15.351450398136 yrs)
- Last Updated
- Jan 20, 2022
- Licenses
-
9075 (KY)9075 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1275 HALLWOOD DRIVEMOREHEAD, KY, 40351Browse KY providers · Browse ZIP 40351
- Phone
- 6067848000
- Fax
- 6067848004
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.