| Kids Dentistree - Westport Village | |
|
1106 Lyndon Ln Louisville KY 40222-4318 | |
| (502) 254-6075 | |
| (502) 333-9750 |
| Full Name | Kids Dentistree - Westport Village |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1106 Lyndon Ln, Louisville, Kentucky |
| Authorized Official Name and Position | Steve James (CFO) |
| Authorized Official Contact | 5022548504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dentistree - Westport Village 1106 Lyndon Ln Louisville KY 40222-4318 Ph: (502) 254-6075 | Kids Dentistree - Westport Village 1106 Lyndon Ln Louisville KY 40222-4318 Ph: (502) 254-6075 |
| NPI Number | 1063808608 |
|---|---|
| Provider Enumeration Date | 04/10/2015 |
| Last Update Date | 04/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063808608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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