Jfd Ky Pllc | |
9120 Hurstbourne Ln Louisville KY 40220-1627 | |
(502) 671-5087 | |
(812) 280-7184 |
Full Name | Jfd Ky Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 9120 Hurstbourne Ln, Louisville, Kentucky |
Authorized Official Name and Position | James Edward Terrell Smith (MANAGER) |
Authorized Official Contact | 5025999543 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jfd Ky Pllc 9120 Hurstbourne Ln Louisville KY 40220-1627 Ph: (502) 671-5087 | Jfd Ky Pllc 9120 Hurstbourne Ln Louisville KY 40220-1627 Ph: (502) 671-5087 |
NPI Number | 1366150013 |
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Provider Enumeration Date | 11/11/2022 |
Last Update Date | 11/11/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366150013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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