Organization
DUMESNIL DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE FAETH JORDAN (OFC MANAGER)
(502) 778-1900
Entity
Organization
Contact information
Practice address
2730 DUMESNIL ST, LOUISVILLE, KY 40211-3466
(502) 778-1900
(502) 778-1905
Mailing address
2730 DUMESNIL ST, LOUISVILLE, KY 40211-3466
(502) 778-1900
(502) 778-1905
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2005
Last updated
08/22/2020
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