# 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:** Dorsey Family Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285390682
- **Legal business name:** DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C
- **Authorized official:** HILLARY THULL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8946

## Contact information

- **Practice address:** 10270 SHELBYVILLE RD, LOUISVILLE, KY 40223-2955
- **Practice address phone:** (502) 244-1500
- **Mailing address:** 10270 SHELBYVILLE RD, LOUISVILLE, KY 40223-2955

## Taxonomy

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

## Other

- **Enumeration date:** 11/10/2021
- **Last updated:** 11/10/2021
