Organization
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C
Active
Parent organization
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C
Other names
Metro Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
301 E MAIN ST STE 102, LOUISVILLE, KY 40202-1243
(502) 584-1322
Mailing address
301 E MAIN ST STE 102, LOUISVILLE, KY 40202-1243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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