Organization
BYRNE DENTAL,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW THOMAS BYRNE DMD (DENTIST)
(502) 363-2344
Entity
Organization
Contact information
Practice address
4739 SO. THIRD STREET, LOUISVILLE, KY 40214
(502) 363-2344
(502) 367-7964
Mailing address
4739 SO. THIRD STREET, LOUISVILLE, KY 40214
(502) 363-2344
(502) 367-7964
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8721
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083836134
DR. DANIEL BYRNE DMD
KY
01
—
1538591300
GROUP NPI
KY
01
—
1578866273
DR. ANDREW BYRNE DMD
KY
Enumeration date
08/05/2013
Last updated
05/22/2015
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