UNIVERSITY OF LOUISVILLE NPI 1861413098

NPI Information

NPI: 1861413098
Provider Name: UNIVERSITY OF LOUISVILLE
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Doing Business As: UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
Address: 501 S PRESTON ST
LOUISVILLE, KY
ZIP 40202
Phone: (502) 852-5096

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NPI Details

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	122300000X	Dentist		No
2	1223E0200X	Dentist	Endodontics	No
3	1223P0106X	Dentist	Oral and Maxillofacial Pathology	No
4	1223P0221X	Dentist	Pediatric Dentistry	No
5	1223P0300X	Dentist	Periodontics	No
6	1223P0700X	Dentist	Prosthodontics	No
7	1223S0112X	Dentist	Oral and Maxillofacial Surgery	No
8	1223X0008X	Dentist	Oral and Maxillofacial Radiology	No
9	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	No
10	1223G0001X	Dentist	General Practice	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1048739	OTHER	KENTUCKY	PASSPORT HEALTH PLAN
2	1151798	OTHER	KENTUCKY	PASSPORT HEALTH PLAN SUHD
3	1049975	OTHER	KENTUCKY	PASSPORT HEALTH PLAN FPP
4	61940102	MEDICAID	KENTUCKY
5	0530	MEDICARE PIN	KENTUCKY
6	100001450A	MEDICAID	INDIANA

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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