Organization
BLINCOE & SHUTT PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN R. BLINCOE DMD (PRESIDENT)
(502) 895-2210
Entity
Organization
Contact information
Practice address
4122 SHELBYVILLE RD STE 115, LOUISVILLE, KY 40207-3206
(502) 895-2210
(502) 895-0425
Mailing address
4122 SHELBYVILLE RD STE 115, LOUISVILLE, KY 40207-3206
(502) 895-2210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/10/2015
Last updated
02/04/2025
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