Organization
FERN CREEK DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT A RILEY D.M.D. (OWNER)
(502) 239-0881
Entity
Organization
Contact information
Practice address
5912 BARDSTOWN RD, LOUISVILLE, KY 40291-1957
(502) 239-0881
(502) 239-0887
Mailing address
5912 BARDSTOWN RD, LOUISVILLE, KY 40291-1957
(502) 239-0881
(502) 239-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6048
KY
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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