Organization · Type 2 NPI

Edp of Kentucky PC

Dental Clinic/Center · Henderson, KY

NPI number 1508367665 Active

Practice location

342 Starlite Dr
Henderson, KY 42420-6102

Mailing address

141 W Jackson Blvd Ste 210
Chicago, IL 60604-3048

Other practice locations

  • 3017 Poplar Level Rd, Louisville, KY 40217-2300 · (502) 451-2005
  • 3707 Chamberlain Ln Ste 103, Louisville, KY 40241-2091 · (502) 412-2222
  • 8172 Mall Rd, Florence, KY 41042-1499 · (859) 525-7775

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1508367665

Edp of Kentucky PC's National Provider Identifier is 1508367665, issued on Feb 23, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Henderson, KY. The record was last updated on Sep 16, 2019.