# PROCTOR FAMILY DENTAL SHIVELY

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

## Provider details

- **NPI number:** 1710855762
- **Authorized official:** SARAH A PROCTOR DMD (OWNER)
- **Authorized official phone:** (270) 312-8003

## Contact information

- **Practice address:** 2300 DIXIE HWY, LOUISVILLE, KY 40216-5364
- **Practice address phone:** (270) 312-8003
- **Mailing address:** 2300 DIXIE HWY, LOUISVILLE, KY 40216-5364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2025
- **Last updated:** 03/31/2026