Organization
DIXIE DENTAL AND DENTURES LLC
Active
Other names
Dixie Dental and Dentures LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL H JESSIE CDT (OWNER)
(502) 905-0026
Entity
Organization
Contact information
Practice address
1480 DIXIE HWY, LOUISVILLE, KY 40210-1768
(502) 778-7414
Mailing address
1480 DIXIE HWY, LOUISVILLE, KY 40210-1768
(502) 778-7414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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