CHILDREN'S SPECIAL CARE DENTISTRY NPI 1619151180

NPI Information

CHILDREN'S SPECIAL CARE 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. CHILDREN'S SPECIAL CARE DENTISTRY NPI is 1619151180. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2301 MEADOW DR
LOUISVILLE, KY
ZIP 40218-338
Phone: (502) 451-8900

The provider's authorized official is Shannon Marie Abang .
The authorized official title is Office Manager and has the following contact phone number (502) 451-8900.

The enumeration date for this NPI number is 12/19/2007 and was last updated on 12/19/2007.

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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