DERBY CITY PEDIATRIC DENTISTRY PLLC NPI 1518599802

NPI Information

DERBY CITY PEDIATRIC DENTISTRY, PLLC is a pediatric dentistry dentist in Louisville, KY. The provider is 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. DERBY CITY PEDIATRIC DENTISTRY, PLLC NPI is 1518599802. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2120 HIGH WICKHAM PL STE 103
LOUISVILLE, KY
ZIP 40245-903
Phone: (502) 254-6097
Fax: (502) 254-6098

The provider's authorized official is Korie Dunhoft Acord .
The authorized official title is Owner, Pediatric Dentist and has the following contact phone number (502) 254-6097.

The enumeration date for this NPI number is 2/5/2020 and was last updated on 2/5/2020.

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:

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