Lifetime Dental Care of Ky Psc
NPI #1215169875 in Louisville, Kentucky
Provider Information
- NPI Number
- 1215169875
- Entity Type
- Organization
- Organization Name
- Lifetime Dental Care of Ky Psc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LIFETIME DENTAL CARE OF KY PSC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 17, 2009
- Last Updated
- Jan 16, 2017
Practice Location
- Address
- 2416 FRANKFORT AVE STE 3
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40206-2571
- Phone
- (502) 893-1990
Authorized Official
- Name
- KIM ZUBER
- Title
- INSURANCE / CREDENTIALING
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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