# SOUTH LOUISVILLE DENTAL SPECIALISTS INC

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

## Provider details

- **NPI number:** 1548259377
- **Authorized official:** DR. ARTHUR L. WICKSON D.M.D. (CO-OWNER)
- **Authorized official phone:** (502) 361-8988

## Contact information

- **Practice address:** 4825 S 3RD ST, LOUISVILLE, KY 40214-2152
- **Practice address phone:** (502) 361-8988
- **Practice address fax:** (502) 361-8230
- **Mailing address:** 4825 S 3RD ST, LOUISVILLE, KY 40214-2152
- **Mailing address phone:** (502) 361-8988
- **Mailing address fax:** (502) 361-8230

## Taxonomy

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

## Other

- **Enumeration date:** 10/14/2005
- **Last updated:** 02/19/2014