| Hikes Lane Family Dental Center Psc | |
|
2921 Hikes Lane Louisville KY 40218 | |
| (502) 451-3344 | |
| (502) 456-1603 |
| Full Name | Hikes Lane Family Dental Center Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2921 Hikes Lane, Louisville, Kentucky |
| Authorized Official Name and Position | Rebecca Ann Mccauley (PRESIDENT) |
| Authorized Official Contact | 5024513344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hikes Lane Family Dental Center Psc 2921 Hikes Lane Louisville KY 40218 Ph: (502) 451-3344 | Hikes Lane Family Dental Center Psc 2921 Hikes Lane Louisville KY 40218 Ph: (502) 451-3344 |
| NPI Number | 1366512295 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366512295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6616 (Kentucky) | Primary |
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