| Special Care Dental Of Indiana, Llc | |
|
12910 Shelbyville Rd Suite 300 Louisville KY 40243-1593 | |
| (502) 244-2441 | |
| (502) 254-4086 |
| Full Name | Special Care Dental Of Indiana, Llc |
|---|---|
| Speciality | Dentist |
| Location | 12910 Shelbyville Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Leah Francis (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5022442441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Special Care Dental Of Indiana, Llc 12910 Shelbyville Rd Suite 300 Louisville KY 40243-1593 Ph: (502) 244-2441 | Special Care Dental Of Indiana, Llc 12910 Shelbyville Rd Suite 300 Louisville KY 40243-1593 Ph: (502) 244-2441 |
| NPI Number | 1386054393 |
|---|---|
| Provider Enumeration Date | 04/29/2014 |
| Last Update Date | 08/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386054393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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