Organization
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
Active
Parent organization
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
Other names
Brownsboro Station Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
9901 BROWNSBORO RD STE 102, LOUISVILLE, KY 40241-1100
(502) 212-7655
Mailing address
9901 BROWNSBORO RD STE 102, LOUISVILLE, KY 40241-1100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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