Smile St. Matthews, Pllc | |
114 S Sherrin Ave Louisville KY 40207-3201 | |
(502) 473-1800 | |
(502) 409-8525 |
Full Name | Smile St. Matthews, Pllc |
---|---|
Speciality | Dentist |
Location | 114 S Sherrin Ave, Louisville, Kentucky |
Authorized Official Name and Position | Ann-margaret Luckett (DENTIST) |
Authorized Official Contact | 5025934116 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smile St. Matthews, Pllc 114 S Sherrin Ave Louisville KY 40207-3201 Ph: (502) 473-1800 | Smile St. Matthews, Pllc 114 S Sherrin Ave Louisville KY 40207-3201 Ph: (502) 473-1800 |
NPI Number | 1922341254 |
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Provider Enumeration Date | 04/04/2013 |
Last Update Date | 04/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922341254 | NPI | - | NPPES |
7100169580 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 8977 (Kentucky) | Primary |
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