# BYRNE DENTAL,PSC

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

## Provider details

- **NPI number:** 1538591300
- **Authorized official:** DR. ANDREW THOMAS BYRNE DMD (DENTIST)
- **Authorized official phone:** (502) 363-2344

## Contact information

- **Practice address:** 4739 SO. THIRD STREET, LOUISVILLE, KY 40214
- **Practice address phone:** (502) 363-2344
- **Practice address fax:** (502) 367-7964
- **Mailing address:** 4739 SO. THIRD STREET, LOUISVILLE, KY 40214
- **Mailing address phone:** (502) 363-2344
- **Mailing address fax:** (502) 367-7964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8721 | KY | Yes |

## Other

- **Enumeration date:** 08/05/2013
- **Last updated:** 05/22/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1083836134 | DR. DANIEL BYRNE DMD | KY |
| 01 | — | 1538591300 | GROUP NPI | KY |
| 01 | — | 1578866273 | DR. ANDREW BYRNE DMD | KY |