Organization
FISHERVILLE DENTAL PLLC
Active
Other names
Elite Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL K PATEL DMD (OWNER)
(502) 744-2384
Entity
Organization
Contact information
Practice address
6287 TAYLORSVILLE ROAD, BLDG 2, STE A, FISHERVILLE, KY 40023
(502) 477-6380
Mailing address
6287 TAYLORSVILLE ROAD, BLDG 2, STE A, FISHERVILLE, KY 40023
(502) 477-6380
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336572965
NPPES
KY
Enumeration date
01/31/2023
Last updated
01/31/2023
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