Triple Crown Dentistry
NPI #1205366846 in Louisville, Kentucky
Provider Information
- NPI Number
- 1205366846
- Entity Type
- Organization
- Organization Name
- Triple Crown Dentistry
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TRIPLE CROWN DENTISTRY
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 15, 2017
- Last Updated
- Jun 15, 2017
Practice Location
- Address
- 904 LILY CREEK ROAD
- Address 2
- SUITE 101
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40243
- Phone
- (502) 409-4299
Authorized Official
- Name
- DR. MARY SHIELDS, D.M.D.
- Title
- OWNER
- Phone
- (502) 409-4299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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