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TRIPLE CROWN DENTISTRY NPI 1205366846


NPI Information

NPI: 1205366846
Provider Name: TRIPLE CROWN DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
904 LILY CREEK ROAD
SUITE 101
LOUISVILLE, KY
ZIP 40243
Phone: (502) 409-4299
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TRIPLE CROWN DENTISTRY is a general practice dentist in Louisville, KY. The provider is 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. TRIPLE CROWN DENTISTRY NPI is 1205366846. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

904 LILY CREEK ROAD
SUITE 101
LOUISVILLE, KY
ZIP 40243
Phone: (502) 409-4299
Fax: (502) 409-4309

The provider's authorized official is Mary Shields .
The authorized official title is Owner and has the following contact phone number (502) 409-4299.

The enumeration date for this NPI number is 6/15/2017 and was last updated on 6/15/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice9305KENTUCKYNo
21223G0001XDentistGeneral Practice9076KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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