# DOWNTOWN DENTAL CENTER

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

## Provider details

- **NPI number:** 1942327077
- **Authorized official:** MR. MATT CASSIDY (PRESIDENT)
- **Authorized official phone:** (502) 587-8839

## Contact information

- **Practice address:** 225 ABRAHAM FLEXNER WAY, SUITE 302, LOUISVILLE, KY 40202-1846
- **Practice address phone:** (502) 587-8839
- **Practice address fax:** (502) 587-1737
- **Mailing address:** 225 ABRAHAM FLEXNER WAY, SUITE 302, LOUISVILLE, KY 40202-1846
- **Mailing address phone:** (502) 587-8839
- **Mailing address fax:** (502) 587-1737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4046 | KY | — |
| 1223G0001X | General Practice Dentistry | 8224 | KY | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 08/22/2020