# KENTUCKIANA DENTAL SLEEP MEDICINE PLLC

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

## Provider details

- **NPI number:** 1245504745
- **Authorized official:** AMY BROWN DMD (MEMBER)
- **Authorized official phone:** (502) 458-7476

## Contact information

- **Practice address:** 8921 STONE GREEN WAY, LOUISVILLE, KY 40220-4073
- **Practice address phone:** (502) 458-7476
- **Practice address fax:** (502) 458-7797
- **Mailing address:** 8921 STONE GREEN WAY, LOUISVILLE, KY 40220-4073
- **Mailing address phone:** (502) 458-7476
- **Mailing address fax:** (502) 458-7797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8004 | KY | Yes |

## Other

- **Enumeration date:** 03/01/2012
- **Last updated:** 03/01/2012
