| Pierce & Mitchell, P.s.c. | |
|
4825 S 3rd St Louisville KY 40214-2152 | |
| (502) 366-6362 | |
| (502) 368-8600 |
| Full Name | Pierce & Mitchell, P.s.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4825 S 3rd St, Louisville, Kentucky |
| Authorized Official Name and Position | Allen Deane Pierce (PRESIDENT) |
| Authorized Official Contact | 5023666362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pierce & Mitchell, P.s.c. 4825 S 3rd St Louisville KY 40214-2152 Ph: (502) 366-6362 | Pierce & Mitchell, P.s.c. 4825 S 3rd St Louisville KY 40214-2152 Ph: (502) 366-6362 |
| NPI Number | 1245229079 |
|---|---|
| Provider Enumeration Date | 10/14/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245229079 | NPI | - | NPPES |
| 61900379 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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