Organization
MY SMILE DENTAL SERVICES, PLLC
Active
Parent organization
MY SMILE DENTAL SERVICES, PLLC
Other names
Dental Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MY SMILE DENTAL SERVICES, PLLC
Authorized official
KAYLA MARIE ISING (OFFICE COORDINATOR)
(812) 670-0403
Entity
Organization
Contact information
Practice address
5014B PRESTON HWY, LOUISVILLE, KY 40213-2217
(502) 966-0188
(502) 966-0189
Mailing address
5014B PRESTON HWY, LOUISVILLE, KY 40213-2217
(502) 966-0188
(502) 966-0189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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