| Pactee Dental Pllc | |
|
5417 Robbs Ln Louisville KY 40219-4043 | |
| (502) 969-9897 | |
| (502) 969-0296 |
| Full Name | Pactee Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 5417 Robbs Ln, Louisville, Kentucky |
| Authorized Official Name and Position | Paul King (MEMBER) |
| Authorized Official Contact | 5027272636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pactee Dental Pllc 935 Willow Creek Ln Louisville KY 40245-7001 Ph: () - | Pactee Dental Pllc 5417 Robbs Ln Louisville KY 40219-4043 Ph: (502) 969-9897 |
| NPI Number | 1639529720 |
|---|---|
| Provider Enumeration Date | 06/20/2016 |
| Last Update Date | 06/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639529720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6006 (Kentucky) | Primary |
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