Individual
DR. NIKKI TAYLOR BEVILACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
156 THIERMAN LN, LOUISVILLE, KY 40207-5010
(502) 717-1972
Mailing address
232 TYNE RD, LOUISVILLE, KY 40207-3480
(336) 486-3575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10666
KY
1223G0001X
General Practice Dentistry
Primary
12013666A
IN
Other
Enumeration date
06/22/2021
Last updated
04/07/2026
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