# 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:** Brownsboro Station Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295563815
- **Legal business name:** DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
- **Authorized official:** CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 764-8609

## Contact information

- **Practice address:** 9901 BROWNSBORO RD STE 102, LOUISVILLE, KY 40241-1100
- **Practice address phone:** (502) 212-7655
- **Mailing address:** 9901 BROWNSBORO RD STE 102, LOUISVILLE, KY 40241-1100

## Taxonomy

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

## Other

- **Enumeration date:** 07/24/2024
- **Last updated:** 07/24/2024