Organization
BLINCOE & SHUTT PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SHUTT DMD (OWNER / PRESIDENT)
(502) 895-2210
Entity
Organization
Contact information
Practice address
2811 BARDSTOWN RD, LOUISVILLE, KY 40205-2677
(502) 458-1114
Mailing address
2811 BARDSTOWN RD, LOUISVILLE, KY 40205-2677
(502) 458-1114
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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