# ADVANCED DENTAL CENTER, INC.

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

## Provider details

- **NPI number:** 1295662203
- **Authorized official:** MARK TALIS (COO)
- **Authorized official phone:** (502) 966-4367

## Contact information

- **Practice address:** 10519 TAYLORSVILLE RD, LOUISVILLE, KY 40299-3911
- **Practice address phone:** (502) 244-7531
- **Mailing address:** 10519 TAYLORSVILLE RD, LOUISVILLE, KY 40299-3911
- **Mailing address phone:** (502) 244-7531

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2026
- **Last updated:** 05/05/2026