Organization · Type 2 NPI
Modern Kids Dentistry of Louisville, PLLC
Pediatric Dentistry · Louisville, KY
NPI number
1104646983
Active
Practice location
129 Evergreen Rd
Louisville, KY 40243-2426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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About NPI 1104646983
Modern Kids Dentistry of Louisville, PLLC's National Provider Identifier is 1104646983, issued on Oct 15, 2024. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Louisville, KY. The record was last updated on Oct 15, 2024.