Organization
GENTLE EXCELLENCE DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E. MCLEAN (BUSINESS MANAGER)
(502) 368-8400
Entity
Organization
Contact information
Practice address
4133 TAYLOR BLVD, LOUISVILLE, KY 40215-2341
(502) 368-8400
(502) 368-8423
Mailing address
4133 TAYLOR BLVD, LOUISVILLE, KY 40215-2341
(502) 368-8400
(502) 368-8423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45608247
—
KY
Enumeration date
05/22/2007
Last updated
08/22/2020
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