Organization
ADS OF IN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY REIBEL (CHIEF FINANCIAL OFFICER)
(502) 254-8526
Entity
Organization
Contact information
Practice address
2441 STATE ST STE C, NEW ALBANY, IN 47150-4984
(812) 920-8726
Mailing address
10300 LINN STATION RD FL 1, LOUISVILLE, KY 40223-3840
(502) 254-8500
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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