# VILLALON DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orchid Bloom Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205783909
- **Authorized official:** DR. ALICIA MARIA TENRRERO VILLALON DMD (OWNER)
- **Authorized official phone:** (502) 295-1908

## Contact information

- **Practice address:** 2821 S HURSTBOURNE PKWY STE 7, LOUISVILLE, KY 40220-4124
- **Practice address phone:** (502) 295-1908
- **Mailing address:** 2821 S HURSTBOURNE PKWY STE 7, LOUISVILLE, KY 40220-4124

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2026
- **Last updated:** 10/06/2026