Bardstown Road Dental Pllc
NPI #1003387630 in Louisville, Kentucky
Provider Information
- NPI Number
- 1003387630
- Entity Type
- Organization
- Organization Name
- Bardstown Road Dental Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 7, 2018
- Last Updated
- Dec 7, 2018
Practice Location
- Address
- 5300 BARDSTOWN RD
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40291-1931
- Phone
- (502) 493-0302
Authorized Official
- Name
- TASCHTEGO TINSLEY
- Title
- DENTIST
- Phone
- (502) 493-0302
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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