PERIOIMPLANT ASSOCIATES PSC NPI 1720009061

NPI Information

  • NPI: 1720009061
  • Provider Name: PERIOIMPLANT ASSOCIATES, PSC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 4010 DUPONT CIR
    SUITE 524
    LOUISVILLE, KY
    ZIP 40207
  • Phone: (502) 897-9417

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NPI Details

PERIOIMPLANT ASSOCIATES, PSC is a periodontics dentist in Louisville, KY. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PERIOIMPLANT ASSOCIATES, PSC NPI is 1720009061. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4010 DUPONT CIR
SUITE 524
LOUISVILLE, KY
ZIP 40207-812
Phone: (502) 897-9417

The provider's authorized official is Debbie L. Clark .
The authorized official title is Office Manager and has the following contact phone number (502) 897-9417.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 8/4/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodontics8228INDIANANo
21223P0300XDentistPeriodontics5446KENTUCKYNo
31223P0300XDentistPeriodontics8270INDIANANo
41223P0300XDentistPeriodontics8517KENTUCKYNo
51223P0300XDentistPeriodontics12011213AINDIANANo
61223P0300XDentistPeriodontics4036KENTUCKYYes

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: 3/30/2025

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