| Oral Health Systems, Llc | |
|
4406 St. Rita Dr Louisville KY 40219-3932 | |
| (502) 962-4442 | |
| Not Available |
| Full Name | Oral Health Systems, Llc |
|---|---|
| Speciality | Dentist |
| Location | 4406 St. Rita Dr, Louisville, Kentucky |
| Authorized Official Name and Position | Mark Thomas Reams (PRESIDENT) |
| Authorized Official Contact | 5029624442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Health Systems, Llc 4406 St. Rita Dr Louisville KY 40219-3932 Ph: (502) 962-4442 | Oral Health Systems, Llc 4406 St. Rita Dr Louisville KY 40219-3932 Ph: (502) 962-4442 |
| NPI Number | 1972774099 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972774099 | NPI | - | NPPES |
| 60055432 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5542 (Kentucky) | Primary |
| 261QD0000X | Clinic/center - Dental | 5542 (Kentucky) | Secondary |
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