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UNIVERSITY OF LOUISVILLE NPI 1861413098


NPI Information

NPI: 1861413098
Provider Name: UNIVERSITY OF LOUISVILLE

Doing Business As: UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
501 S PRESTON ST
LOUISVILLE, KY
ZIP 40202
Phone: (502) 852-5096
Get Directions

UNIVERSITY OF LOUISVILLE 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. UNIVERSITY OF LOUISVILLE NPI is 1861413098. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As University Of Louisville School Of Dentistry.

The provider's business location address is:

501 S PRESTON ST
LOUISVILLE, KY
ZIP 40202-701
Phone: (502) 852-5096
Fax: (502) 852-1110

The provider's authorized official is Timothy C Daugherty .
The authorized official title is Assoc Dean For Clinical Affairs and has the following contact phone number (502) 852-0982.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 7/26/2017.


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
21223E0200XDentistEndodonticsNo
31223P0106XDentistOral and Maxillofacial PathologyNo
41223P0221XDentistPediatric DentistryNo
51223P0300XDentistPeriodonticsNo
61223P0700XDentistProsthodonticsNo
71223S0112XDentistOral and Maxillofacial SurgeryNo
81223X0008XDentistOral and Maxillofacial RadiologyNo
91223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
101223G0001XDentistGeneral PracticeYes

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
11048739OTHERKENTUCKYPASSPORT HEALTH PLAN
21151798OTHERKENTUCKYPASSPORT HEALTH PLAN SUHD
31049975OTHERKENTUCKYPASSPORT HEALTH PLAN FPP
461940102MEDICAIDKENTUCKY
50530MEDICARE PINKENTUCKY
6100001450AMEDICAIDINDIANA

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.