Organization
SCHULTEN PEDIATRIC DENTISTRY - FERN CREEK LLC
Active
Other names
Fern Creek Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA R SCHULTEN DMD (OWNER)
(502) 897-0625
Entity
Organization
Contact information
Practice address
9316A CEDAR CENTER WAY, LOUISVILLE, KY 40291-4522
(502) 897-0625
Mailing address
9316A CEDAR CENTER WAY, LOUISVILLE, KY 40291-4522
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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