Organization
HAYWARD DENTAL GROUP, P.S.C.
Active
Other names
Fourth Street Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA C. HAYWARD D.M.D. (PRESIDENT)
(502) 585-4320
Entity
Organization
Contact information
Practice address
1018 S 4TH ST, SUITE 250, LOUISVILLE, KY 40203-3221
(502) 585-4320
(502) 585-4355
Mailing address
1018 S 4TH ST, SUITE 250, LOUISVILLE, KY 40203-3221
(502) 585-4320
(502) 585-4355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8389
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100011840
—
KY
Enumeration date
04/29/2008
Last updated
04/29/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us