One Stop Smile Shop LLC
NPI #1174045306 in Taylorsville, Kentucky
Provider Information
- NPI Number
- 1174045306
- Entity Type
- Organization
- Organization Name
- One Stop Smile Shop LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 10, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1477 BLOOMFIELD RD
- City
- Taylorsville
- State
- Kentucky
- ZIP Code
- 40071-9009
- Phone
- (502) 902-6120
Authorized Official
- Name
- LYNN SHELBURNE, DMD
- Title
- OWNER
- Phone
- (502) 902-6120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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