Organization
HIKES LANE FAMILY DENTAL CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA ANN MCCAULEY DMD (PRESIDENT)
(502) 451-3344
Entity
Organization
Contact information
Practice address
2921 HIKES LANE, LOUISVILLE, KY 40218
(502) 451-3344
(502) 456-1603
Mailing address
2921 HIKES LANE, LOUISVILLE, KY 40218
(502) 451-3344
(502) 456-1603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6616
KY
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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