| Advanced Dental Solutions Llc | |
|
134 Evergreen Rd Ste 201 Louisville KY 40243 | |
| (502) 254-8500 | |
| Not Available |
| Full Name | Advanced Dental Solutions Llc |
|---|---|
| Speciality | Dentist |
| Location | 134 Evergreen Rd Ste 201, Louisville, Kentucky |
| Authorized Official Name and Position | Jeff Reibel (CFO) |
| Authorized Official Contact | 5022548500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Solutions Llc Po Box 437169 Louisville KY 40253-7169 Ph: () - | Advanced Dental Solutions Llc 134 Evergreen Rd Ste 201 Louisville KY 40243 Ph: (502) 254-8500 |
| NPI Number | 1225536683 |
|---|---|
| Provider Enumeration Date | 01/31/2018 |
| Last Update Date | 09/05/2023 |
| Medicare PECOS PAC ID | 5496018541 |
|---|---|
| Medicare Enrollment ID | O20180424001598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225536683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
| Provider Name | Alan D Wilkinson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841296639 PECOS PAC ID: 8527093087 Enrollment ID: I20051013000125 |
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