| Market Street Denture Centerllc | |
|
2410 W Market St Louisville KY 40212-1539 | |
| (502) 778-5141 | |
| (502) 772-7298 |
| Full Name | Market Street Denture Centerllc |
|---|---|
| Speciality | Dentist |
| Location | 2410 W Market St, Louisville, Kentucky |
| Authorized Official Name and Position | Michael Henry Jessie (CO-OWNER) |
| Authorized Official Contact | 5029050026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Market Street Denture Centerllc 2410 W Market St Louisville KY 40212-1539 Ph: (502) 778-5141 | Market Street Denture Centerllc 2410 W Market St Louisville KY 40212-1539 Ph: (502) 778-5141 |
| NPI Number | 1790173177 |
|---|---|
| Provider Enumeration Date | 01/07/2015 |
| Last Update Date | 01/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790173177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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