Lifetime Dental Care Of Ky Psc in Louisville - Dentist
Lifetime Dental Care Of Ky Psc - NPI 1942364930
Lifetime Dental Care Of Ky Psc is a Dentist in Louisville, Kentucky. Lifetime Dental Care Of Ky Psc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lifetime Dental Care Of Ky Psc is 1942364930. The last update date is 2017-01-16.
Lifetime Dental Care Of Ky Psc's current location address is 219 Breckenridge Ln, Louisville, Kentucky. You can contact this provider via phone number 5028973424 and fax number 5028940342. The mailing address for Lifetime Dental Care Of Ky Psc is 219 Breckenridge Ln, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifetime Dental Care Of Ky Psc |
|---|---|
| Address | 219 Breckenridge Ln, Louisville, Kentucky |
| Phone Number | 5028973424 |
| Fax Number | 5028940342 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CRED SUPER |
|---|---|
| Authorized Official Name | Zuber A Kim |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1942364930 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2017-01-16 |
Provider Mailing Address Detail
| Address | 219 Breckenridge Ln |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402073858 |
| Phone Number | 5028973424 |
| Fax Number | 5028940342 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Lifetime Dental Care Of Ky Psc's 1942364930?
The Lifetime Dental Care Of Ky Psc's NPI (National Provider Identifier) Number is 1942364930. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lifetime Dental Care Of Ky Psc is physically located?
The Lifetime Dental Care Of Ky Psc is physically situated at the following address: 219 Breckenridge Ln, Louisville, KY, 402073858.
What is the Lifetime Dental Care Of Ky Psc's specialty and taxonomy code?
The Lifetime Dental Care Of Ky Psc's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942364930 to Lifetime Dental Care Of Ky Psc?
The Centers for Medicare & Medicaid Services originally issued the 1942364930 to Lifetime Dental Care Of Ky Psc on 2006-12-21.
As of what date were the details related to Lifetime Dental Care Of Ky Psc most recently updated or revised?
The information pertaining to Lifetime Dental Care Of Ky Psc, including its address, specialty, and other relevant details, was last updated or revised on 2017-01-16.