Dr Kyle T Dority, DMD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Louisville, Kentucky. His current practice location is
8106 Arbor Meadow Way, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(435) 770-5302.
Dr Kyle T Dority is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548902240.
Healthcare Provider's Profile
| Full Name | Dr Kyle T Dority |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 8106 Arbor Meadow Way, Louisville, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548902240
- Provider Enumeration Date: 04/12/2022
- Last Update Date: 08/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406238666
- Enrollment ID: I20220804000665
Medical Identifiers
Medical identifiers for Dr Kyle T Dority such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548902240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223P0300X | Dentist - Periodontics | 10789 (Kentucky) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kyle T Dority is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kyle T Dority, DMD
8106 Arbor Meadow Way,
Louisville, KY 40228-4412
Ph: (435) 770-5302 | Dr Kyle T Dority, DMD
8106 Arbor Meadow Way,
Louisville, KY 40228-4412
Ph: (435) 770-5302 |
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