| Norton Children's Dentistry | |
|
4803 Olympia Park Plz Ste 1100 Louisville KY 40241-3068 | |
| (502) 272-5336 | |
| (502) 272-5339 |
| Full Name | Norton Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4803 Olympia Park Plz Ste 1100, Louisville, Kentucky |
| Authorized Official Name and Position | Shelley Gast (SYST VP MNGD CARE & PAYOR STRAT) |
| Authorized Official Contact | 5022725335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norton Children's Dentistry Po Box 776879 Chicago IL 60677-6879 Ph: (502) 272-5134 | Norton Children's Dentistry 4803 Olympia Park Plz Ste 1100 Louisville KY 40241-3068 Ph: (502) 272-5336 |
| NPI Number | 1609443308 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 09/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609443308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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