Kids Dentistree - Middletown | |
130 Evergreen Rd Louisville KY 40243-1489 | |
(502) 410-1710 | |
(502) 253-2202 |
Full Name | Kids Dentistree - Middletown |
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Speciality | Clinic/center - Dental |
Location | 130 Evergreen Rd, Louisville, Kentucky |
Authorized Official Name and Position | Jeff Reibel (CFO) |
Authorized Official Contact | 5022548500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kids Dentistree - Middletown Po Box 437169 Louisville KY 40253-7169 Ph: (502) 245-7103 | Kids Dentistree - Middletown 130 Evergreen Rd Louisville KY 40243-1489 Ph: (502) 410-1710 |
NPI Number | 1316059934 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 09/06/2023 |
Identifier | Type | State | Issuer |
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1316059934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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