Dental Services of Kentucky, Psc
NPI #1194238816 in Louisville, Kentucky
Provider Information
- NPI Number
- 1194238816
- Entity Type
- Organization
- Organization Name
- Dental Services of Kentucky, Psc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL SERVICES OF KENTUCKY, PSC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 16, 2017
- Last Updated
- Nov 16, 2017
Practice Location
- Address
- 2011 GRINSTEAD DR UNIT 102
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40204-1296
- Phone
- (502) 638-2377
Authorized Official
- Name
- MONICA L LONG
- Title
- MANAGER OF CREDENTIALING
- Phone
- (913) 428-1686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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