# MY SMILE DENTAL SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MY SMILE DENTAL SERVICES, PLLC
- **Other names:** Dental Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144838764
- **Legal business name:** MY SMILE DENTAL SERVICES, PLLC
- **Authorized official:** KAYLA MARIE ISING (OFFICE COORDINATOR)
- **Authorized official phone:** (812) 670-0403

## Contact information

- **Practice address:** 5014B PRESTON HWY, LOUISVILLE, KY 40213-2217
- **Practice address phone:** (502) 966-0188
- **Practice address fax:** (502) 966-0189
- **Mailing address:** 5014B PRESTON HWY, LOUISVILLE, KY 40213-2217
- **Mailing address phone:** (502) 966-0188
- **Mailing address fax:** (502) 966-0189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2020
- **Last updated:** 07/20/2020