Organization · Type 2 NPI

Dental Services of Kentucky, PSC

General Practice Dentistry · Louisville, KY

NPI number 1194238816 Active

Practice location

2011 Grinstead Dr Unit 102
Louisville, KY 40204-1296

Call (502) 638-2377 Map

Fax (913) 752-9116

Mailing address

PO Box 11568
Overland Park, KS 66207-4268

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

Other general practice dentistry providers in Louisville

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NPI record

NPI: 1194238816
Entity type: Organization (Type 2)
Issued: Nov 16, 2017
Last updated: Nov 16, 2017
Status: Active
Subpart: Yes of Dental Services of Kentucky, PSC

Other names

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Immediadent · doing business as

Authorized official

Monica L Long
Manager of Credentialing
(913) 428-1686

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194238816

Dental Services of Kentucky, PSC's National Provider Identifier is 1194238816, issued on Nov 16, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Louisville, KY. The record was last updated on Nov 16, 2017.