Organization · Type 2 NPI

Advanced Dental Center, Inc.

General Practice Dentistry · Louisville, KY

NPI number 1922580653 Active

Practice location

1901 Rudy Ln Ste 4
Louisville, KY 40207-1384

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	7118 (KY)

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: 1922580653
Entity type: Organization (Type 2)
Issued: Aug 29, 2018
Last updated: Jun 11, 2019
Status: Active
Subpart: Yes of Advanced Dental Center, Inc

Other names

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Advanced Dental Center · doing business as
Advanced Dental Center East · doing business as

Authorized official

Dr. Rachel Talis, DMD
President
(502) 966-4367

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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 1922580653

Advanced Dental Center, Inc.'s National Provider Identifier is 1922580653, issued on Aug 29, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Louisville, KY. The record was last updated on Jun 11, 2019.