| Old Louisville Dental Centre | |
|
1504 S 7th St Louisville KY 40208-1711 | |
| (502) 636-5492 | |
| (502) 636-9210 |
| Full Name | Old Louisville Dental Centre |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1504 S 7th St, Louisville, Kentucky |
| Authorized Official Name and Position | Michelle Elizabeth Faeth (OFFICE MANAGER) |
| Authorized Official Contact | 5027181226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Louisville Dental Centre 1504 S 7th St Louisville KY 40208-1711 Ph: (502) 636-5492 | Old Louisville Dental Centre 1504 S 7th St Louisville KY 40208-1711 Ph: (502) 636-5492 |
| NPI Number | 1225640444 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225640444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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