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Organization
BRECKENRIDGE DENTAL, PSC
Active
Organization
BRECKENRIDGE DENTAL, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF KING DMD (OWNER)
(502) 451-5222
Entity
Organization
Contact information
Practice address
3348 HIKES LN STE 107, LOUISVILLE, KY 40220-2000
(502) 451-5222
(502) 451-5263
Mailing address
3348 HIKES LN STE 107, LOUISVILLE, KY 40220-2000
(502) 451-5222
(502) 451-5263
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
03/13/2025
Last updated
03/18/2025
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