Organization
DPP PLLC
Active
Other names
family dental associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT PATRICK PETERS DMD (CEO)
(502) 295-2329
Entity
Organization
Contact information
Practice address
8000 WILLIAM G PENNY LN, LOUISVILLE, KY 40219-3739
(502) 969-2396
Mailing address
8000 WILLIAM G PENNY LN, LOUISVILLE, KY 40219-3739
(502) 969-2396
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7615
KY
Other
Enumeration date
11/09/2017
Last updated
06/11/2019
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