# WEST END FAMILY DENTAL CLINIC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053734541
- **Authorized official:** DR. PHILLIP R. WILLIAMS DMD (OWNER)
- **Authorized official phone:** (502) 772-0704

## Contact information

- **Practice address:** 2418 W MARKET ST, LOUISVILLE, KY 40212-1539
- **Practice address phone:** (502) 772-0704
- **Practice address fax:** (502) 772-9587
- **Mailing address:** 2418 W MARKET ST, LOUISVILLE, KY 40212-1539
- **Mailing address phone:** (502) 772-0704
- **Mailing address fax:** (502) 772-9587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4776 | KY | Yes |

## Other

- **Enumeration date:** 02/04/2014
- **Last updated:** 02/04/2014