| Kids Dentistree - Breckenridge | |
|
3101 Breckenridge Ln Ste 4b Louisville KY 40220-2797 | |
| (502) 451-1020 | |
| (502) 451-9339 |
| Full Name | Kids Dentistree - Breckenridge |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3101 Breckenridge Ln Ste 4b, 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 |
|---|---|
| Kids Dentistree - Breckenridge Po Box 437169 Louisville KY 40253-7169 Ph: () - | Kids Dentistree - Breckenridge 3101 Breckenridge Ln Ste 4b Louisville KY 40220-2797 Ph: (502) 451-1020 |
| NPI Number | 1407341258 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 06/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407341258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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