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KOOL SMILES PSC NPI 1568653848


NPI Information

NPI: 1568653848
Provider Name: KOOL SMILES, PSC

Doing Business As: RUBY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1211 W BROADWAY
LOUISVILLE, KY
ZIP 40203
Phone: (770) 916-5028
Get Directions

KOOL SMILES, PSC 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. KOOL SMILES, PSC NPI is 1568653848. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ruby Dental.

The provider's business location address is:

1211 W BROADWAY
LOUISVILLE, KY
ZIP 40203-007
Phone: (770) 916-5028
Fax: (678) 247-7858

The provider's authorized official is Tu Minh Tran .
The authorized official title is President and has the following contact phone number (770) 916-5036.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 12/19/2018.


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
11223E0200XDentistEndodonticsNo
21223S0112XDentistOral and Maxillofacial SurgeryNo
31223G0001XDentistGeneral PracticeYes

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: 11/14/2023

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