| Tds Ky Two | |
|
5141 Dixie Hwy Ste 101 Louisville KY 40216-1765 | |
| (502) 449-2733 | |
| Not Available |
| Full Name | Tds Ky Two |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5141 Dixie Hwy Ste 101, Louisville, Kentucky |
| Authorized Official Name and Position | Adrienne Nicholson (REGIONAL MANAGER) |
| Authorized Official Contact | 8125692955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tds Ky Two 5141 Dixie Hwy Ste 101 Louisville KY 40216-1765 Ph: (502) 449-2733 | Tds Ky Two 5141 Dixie Hwy Ste 101 Louisville KY 40216-1765 Ph: (502) 449-2733 |
| NPI Number | 1306306253 |
|---|---|
| Provider Enumeration Date | 03/25/2019 |
| Last Update Date | 06/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306306253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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