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DR. NANDAKA JAYAWEERA DMD PLLC NPI 1548535776


NPI Information

NPI: 1548535776
Provider Name: DR. NANDAKA JAYAWEERA, DMD, PLLC

Doing Business As: GENTLE EXCELLENCE DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4133 TAYLOR BLVD
LOUISVILLE, KY
ZIP 40215
Phone: (502) 368-8400
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DR. NANDAKA JAYAWEERA, DMD, PLLC 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. DR. NANDAKA JAYAWEERA, DMD, PLLC NPI is 1548535776. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gentle Excellence Dental.

The provider's business location address is:

4133 TAYLOR BLVD
LOUISVILLE, KY
ZIP 40215-341
Phone: (502) 368-8400
Fax: (502) 368-8423

The provider's authorized official is Nandaka Jayaweera .
The authorized official title is Owner and has the following contact phone number (502) 368-8400.

The enumeration date for this NPI number is 3/21/2012 and was last updated on 9/23/2015.


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 Practice8777KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11750511259OTHERKENTUCKYNANDAKA JAYAWEERA'S NPI NUMBER
27100194630MEDICAIDKENTUCKY
345608247OTHERKENTUCKYEPSDT

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.