Organization
ADVANCED DENTAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK TALIS (COO)
(502) 966-4367
Entity
Organization
Contact information
Practice address
10519 TAYLORSVILLE RD, LOUISVILLE, KY 40299-3911
(502) 244-7531
Mailing address
10519 TAYLORSVILLE RD, LOUISVILLE, KY 40299-3911
(502) 244-7531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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