OLD LOUISVILLE DENTAL CENTRE NPI 1225640444

NPI Information

OLD LOUISVILLE DENTAL CENTRE 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. OLD LOUISVILLE DENTAL CENTRE NPI is 1225640444. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1504 S 7TH ST
LOUISVILLE, KY
ZIP 40208-711
Phone: (502) 636-5492
Fax: (502) 636-9210

The provider's authorized official is Michelle Elizabeth Faeth .
The authorized official title is Office Manager and has the following contact phone number (502) 718-1226.

The enumeration date for this NPI number is 8/19/2020 and was last updated on 8/19/2020.

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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