# METRO DENTAL GROUP, PLLC.

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

## Provider details

- **NPI number:** 1568891471
- **Authorized official:** KATHLEEN VON ROENN DMD (PARTNER)
- **Authorized official phone:** (502) 584-1322

## Contact information

- **Practice address:** 301 E MAIN ST, SUITE 102, LOUISVILLE, KY 40202-1210
- **Practice address phone:** (502) 584-1322
- **Mailing address:** 301 E MAIN ST, SUITE 102, LOUISVILLE, KY 40202-1210
- **Mailing address phone:** (502) 584-1322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6527 | KY | Yes |

## Other

- **Enumeration date:** 11/01/2013
- **Last updated:** 11/01/2013