Dental Health Professionals of Kentucky, P.s.c.

NPI #1386269611 in Shepherdsville, Kentucky

Provider Information

NPI Number
1386269611
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 12, 2020
Last Updated
Jun 12, 2020

Practice Location

Address
3564 WILLOW WAY
ZIP Code
40165-8984
Phone
(502) 955-1606

Authorized Official

Name
TABATHA LEMKE
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-6078

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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