Dental Health Professionals of Kentucky, P.s.c
NPI #1194393546 in Louisville, Kentucky
Provider Information
- NPI Number
- 1194393546
- Entity Type
- Organization
- Organization Name
- Dental Health Professionals of Kentucky, P.s.c
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 14, 2021
- Last Updated
- Jun 14, 2021
Practice Location
- Address
- 301 E MAIN ST STE 102
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40202-1243
- Phone
- (502) 584-1322
Authorized Official
- Name
- TABATHA LEMKE
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-6078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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