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Organization
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
Active
Organization
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
Active
Parent organization
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
Other names
Family Care Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
Authorized official
COURTNEY MONTEITH (CREDENTIALING COORDINATOR)
(217) 540-8306
Entity
Organization
Contact information
Practice address
13320 SHELBYVILLE RD, LOUISVILLE, KY 40223-3936
(502) 245-8494
Mailing address
13320 SHELBYVILLE RD, LOUISVILLE, KY 40223-3936
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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