Organization
ONE STOP SMILE SHOP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN SHELBURNE DMD (OWNER)
(502) 902-6120
Entity
Organization
Contact information
Practice address
1477 BLOOMFIELD RD, TAYLORSVILLE, KY 40071-9009
(502) 902-6120
Mailing address
1477 BLOOMFIELD RD, TAYLORSVILLE, KY 40071-9009
(502) 902-6120
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2017
Last updated
07/21/2022
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