Organization
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
Active
Parent organization
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
Other names
North Bullitt Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
3564 WILLOW WAY, SHEPHERDSVILLE, KY 40165-8984
(502) 955-1606
Mailing address
3564 WILLOW WAY, SHEPHERDSVILLE, KY 40165-8984
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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