# WINCHESTER ROAD DENTAL, PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ruby Dental & Braces, Ruby Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316138936
- **Authorized official:** DR. PETER D IGOE DDS (OWNER)
- **Authorized official phone:** (770) 916-5036

## Contact information

- **Practice address:** 3510 BARDSTOWN RD, LOUISVILLE, KY 40218-4604
- **Practice address phone:** (770) 916-9000
- **Practice address fax:** (678) 247-7858
- **Mailing address:** 210 INTERSTATE NORTH PKWY SE STE 300, ATLANTA, GA 30339-2233
- **Mailing address phone:** (770) 916-5028
- **Mailing address fax:** (678) 247-7858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |

## Other

- **Enumeration date:** 08/08/2007
- **Last updated:** 04/27/2026