# PACTEE DENTAL PLLC

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

## Provider details

- **NPI number:** 1639529720
- **Authorized official:** DR. PAUL KING DMD (MEMBER)
- **Authorized official phone:** (502) 727-2636

## Contact information

- **Practice address:** 5417 ROBBS LN, LOUISVILLE, KY 40219-4043
- **Practice address phone:** (502) 969-9897
- **Practice address fax:** (502) 969-0296
- **Mailing address:** 935 WILLOW CREEK LN, LOUISVILLE, KY 40245-7001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6006 | KY | Yes |

## Other

- **Enumeration date:** 06/20/2016
- **Last updated:** 06/20/2016