| Bbb - Dixie Trent Ave | |
|
5225 Dixie Hwy Louisville KY 40216 | |
| (502) 447-8777 | |
| (502) 448-8240 |
| Full Name | Bbb - Dixie Trent Ave |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5225 Dixie Hwy, Louisville, Kentucky |
| Authorized Official Name and Position | Stephen James (CFO) |
| Authorized Official Contact | 5022548500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bbb - Dixie Trent Ave Po Box 437169 Louisville KY 40253-7169 Ph: (502) 254-8500 | Bbb - Dixie Trent Ave 5225 Dixie Hwy Louisville KY 40216 Ph: (502) 447-8777 |
| NPI Number | 1649765462 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 06/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649765462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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