# IROQUOIS FAMILY AND COSMETIC DENTISTRY

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

## Provider details

- **NPI number:** 1770443384
- **Authorized official:** MRS. JOY GAMELIN (OFFICE MANAGER)
- **Authorized official phone:** (270) 312-4875

## Contact information

- **Practice address:** 6700 SOUTHSIDE DR STE B, LOUISVILLE, KY 40214-2822
- **Practice address phone:** (502) 368-9540
- **Practice address fax:** (502) 375-0195
- **Mailing address:** 6700 SOUTHSIDE DR STE B, LOUISVILLE, KY 40214-2822
- **Mailing address phone:** (502) 368-9540
- **Mailing address fax:** (502) 375-0195

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2025
- **Last updated:** 11/15/2025
