Individual
MACEY MICHELLE POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-5642
Mailing address
158 TEAL CT, SHEPHERDSVILLE, KY 40165-7346
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11379
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2025
Last updated
07/02/2025
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