CANE RUN SMILE CENTER INC. NPI 1871647438

NPI Information

  • NPI: 1871647438
  • Provider Name: CANE RUN SMILE CENTER, INC.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 4516 CANE RUN RD
    LOUISVILLE, KY
    ZIP 40216
  • Phone: (502) 448-1003

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NPI Details

CANE RUN SMILE CENTER, INC. 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. CANE RUN SMILE CENTER, INC. NPI is 1871647438. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4516 CANE RUN RD
LOUISVILLE, KY
ZIP 40216-422
Phone: (502) 448-1003
Fax: (502) 371-8161

The provider's authorized official is Susie J. Riley .
The authorized official title is Owner and has the following contact phone number (502) 448-1003.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 2/9/2017.

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 License Number License State Primary
11223G0001XDentistGeneral Practice5214KENTUCKYYes

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
161942785MEDICAIDKENTUCKY
2168937OTHERKENTUCKYMEDICAID SUBCONTRACTOR #

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: 11/21/2025

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