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NORTON CHILDREN'S MEDICAL GROUP LLC NPI 1609443308


NPI Information

NPI: 1609443308
Provider Name: NORTON CHILDREN'S MEDICAL GROUP LLC

Doing Business As: NORTON CHILDREN'S DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY
ZIP 40241
Phone: (502) 272-5336
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NORTON CHILDREN'S MEDICAL GROUP LLC 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. NORTON CHILDREN'S MEDICAL GROUP LLC NPI is 1609443308. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Norton Children's Dentistry.

The provider's business location address is:

4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY
ZIP 40241-068
Phone: (502) 272-5336
Fax: (502) 272-5339

The provider's authorized official is Shelley Gast .
The authorized official title is Syst Vp Mngd Care & Payor Strat and has the following contact phone number (502) 272-5335.

The enumeration date for this NPI number is 6/10/2021 and was last updated on 9/22/2021.


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
1122300000XDentistNo
21223P0221XDentistPediatric DentistryYes

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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