Organization
POPE FAMILY DENTISTRY, PLLC
Active
Other names
Vibrant Smiles Mobile Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH POPE DMD (OWNER)
(502) 221-1310
Entity
Organization
Contact information
Practice address
5316 GARDEN DR, CRESTWOOD, KY 40014-8843
(502) 221-1310
Mailing address
5316 GARDEN DR, CRESTWOOD, KY 40014-8843
(502) 221-1310
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100684060
—
KY
Enumeration date
01/31/2022
Last updated
01/31/2022
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