# GENTLE EXCELLENCE DENTAL, PLLC

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

## Provider details

- **NPI number:** 1801005277
- **Authorized official:** THOMAS E. MCLEAN (BUSINESS MANAGER)
- **Authorized official phone:** (502) 368-8400

## Contact information

- **Practice address:** 4133 TAYLOR BLVD, LOUISVILLE, KY 40215-2341
- **Practice address phone:** (502) 368-8400
- **Practice address fax:** (502) 368-8423
- **Mailing address:** 4133 TAYLOR BLVD, LOUISVILLE, KY 40215-2341
- **Mailing address phone:** (502) 368-8400
- **Mailing address fax:** (502) 368-8423

## Taxonomy

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

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 45608247 | — | KY |