NPI: 1699260984
Provider Name: KIDS DENTISTREE OF IN, LLC
Other Name: KIDS DENTISTREE OF IN, LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization
Specialization: Pediatric Dentistry
Address:
11801 BRINLEY AVE STE 100
LOUISVILLE, KY
ZIP 40243
Phone: (502) 254-8500
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KIDS DENTISTREE OF IN, 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. KIDS DENTISTREE OF IN, LLC NPI is 1699260984. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Kids Dentistree Of In, Llc.
The provider's business location address is:
11801 BRINLEY AVE STE 100
LOUISVILLE, KY
ZIP 40243-006
Phone: (502) 254-8500
The provider's authorized official is Stephen James .
The authorized official title is Cfo and has the following contact phone number (502) 254-8500.
The enumeration date for this NPI number is 6/28/2018 and was last updated on 6/28/2018.