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Organization
PIERCE & MITCHELL, P.S.C.
Active
Organization
PIERCE & MITCHELL, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN DEANE PIERCE JR. D.M.D. (PRESIDENT)
(502) 366-6362
Entity
Organization
Contact information
Practice address
4825 S 3RD ST, LOUISVILLE, KY 40214-2152
(502) 366-6362
(502) 368-8600
Mailing address
4825 S 3RD ST, LOUISVILLE, KY 40214-2152
(502) 366-6362
(502) 368-8600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61900379
—
KY
Enumeration date
10/14/2005
Last updated
08/22/2020
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