Organization
KIDS DENTISTREE OF KY LLC
Active
Parent organization
KIDS DENTISTREE OF KY LLC
Other names
Kids Dentistree - Georgetown
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIDS DENTISTREE OF KY LLC
Authorized official
JEFF REIBEL (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
1508 OXFORD DR, GEORGETOWN, KY 40324-9266
(502) 254-8500
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
(502) 254-8500
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
09/06/2023
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