# DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C
- **Other names:** Metro Dental Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194393546
- **Legal business name:** DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C
- **Authorized official:** TABATHA LEMKE (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-6078

## Contact information

- **Practice address:** 301 E MAIN ST STE 102, LOUISVILLE, KY 40202-1243
- **Practice address phone:** (502) 584-1322
- **Mailing address:** 301 E MAIN ST STE 102, LOUISVILLE, KY 40202-1243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2021
- **Last updated:** 06/14/2021