Organization
DENTURE CITY PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TODD PETREY DMD (OWNER)
(606) 224-3274
Entity
Organization
Contact information
Practice address
3023 CRUMS LN, LOUISVILLE, KY 40216-4471
(502) 447-3962
(502) 449-3737
Mailing address
3023 CRUMS LN, LOUISVILLE, KY 40216-4471
(502) 447-3962
(502) 449-3737
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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