Organization
BARDSTOWN ROAD DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASCHTEGO TINSLEY (DENTIST)
(502) 493-0302
Entity
Organization
Contact information
Practice address
5300 BARDSTOWN RD, LOUISVILLE, KY 40291-1931
(502) 493-0302
Mailing address
5300 BARDSTOWN RD, LOUISVILLE, KY 40291-1931
(502) 493-0302
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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