FOURTH ST DENTAL CENTER PSC is a dental clinic center in Louisville, KY. FOURTH ST DENTAL CENTER PSC NPI is 1437205556. The provider is registered as an organization entity type.
The provider's business location address is:
1018 SOUTH FOURTH STREET
LOUISVILLE, KY
ZIP 40203
Phone: (502) 585-4320
The provider's authorized official is Rodney Brent Fultz .
The authorized official title is Sec Treas and has the following contact phone number (502) 585-4320.
The enumeration date for this NPI number is 1/25/2007 and was last updated on 12/18/2007.