Organization
SPECIALIZED DENTAL SERVICES.PLLC
Active
Other names
Kids Dentistree - Middletown, Kid's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF REIBEL (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
130 EVERGREEN RD, LOUISVILLE, KY 40243-1489
(502) 410-1710
(502) 253-2202
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
(502) 245-7103
(502) 253-2202
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
09/06/2023
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