| Kentucky On-site Dental Services Llc | |
|
307 Longview Park Pl Louisville KY 40245-6217 | |
| (502) 821-4317 | |
| Not Available |
| Full Name | Kentucky On-site Dental Services Llc |
|---|---|
| Speciality | Dentist |
| Location | 307 Longview Park Pl, Louisville, Kentucky |
| Authorized Official Name and Position | Claire Burrows (OWNER) |
| Authorized Official Contact | 5028214317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky On-site Dental Services Llc 307 Longview Park Pl Louisville KY 40245-6217 Ph: (502) 821-4317 | Kentucky On-site Dental Services Llc 307 Longview Park Pl Louisville KY 40245-6217 Ph: (502) 821-4317 |
| NPI Number | 1164068722 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 11/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164068722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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