# TD KY ONE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lord Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457817496
- **Authorized official:** ADRIENNE NICHOLSON (REGIONAL MANAGER)
- **Authorized official phone:** (812) 569-2955

## Contact information

- **Practice address:** 3841 RUCKRIEGEL PKWY \# 100, LOUISVILLE, KY 40299-3986
- **Practice address phone:** (502) 267-4141
- **Mailing address:** 3841 RUCKRIEGEL PKWY \# 100, LOUISVILLE, KY 40299-3986
- **Mailing address phone:** (502) 267-4141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2019
- **Last updated:** 02/14/2019