Stacey L Graden in Louisville - Dentist

Stacey L Graden - NPI 1255531752

Stacey L Graden is a Dentist in Louisville, Kentucky. Stacey L Graden practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stacey L Graden is 1255531752. The last update date is 2007-07-23.

Stacey L Graden's current location address is 4544 Taylorsville Rd, Louisville, Kentucky. You can contact this provider via phone number 5024990442 and fax number 5024990434. The mailing address for Stacey L Graden is 4544 Taylorsville Rd, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacey L Graden
Address 4544 Taylorsville Rd, Louisville, Kentucky
Phone Number 5024990442
Fax Number 5024990434
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1255531752
Provider Enumeration Date 2007-07-23
Last Updated Date 2007-07-23

Provider Mailing Address Detail

Address 4544 Taylorsville Rd
City Louisville
State Kentucky (KY)
Post Code 402203528
Phone Number 5024990442
Fax Number 5024990434

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 8510
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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FAQs about Stacey L Graden

What is the Stacey L Graden's 1255531752?

The Stacey L Graden's NPI (National Provider Identifier) Number is 1255531752. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Stacey L Graden's facilities are situated?

The facilities of Stacey L Graden are physically located at the following address: 4544 Taylorsville Rd, Louisville, KY, 402203528.

What is Stacey L Graden's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Stacey L Graden is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did Stacey L Graden receive its 1255531752 assignment from the Centers for Medicare & Medicaid Services?

The Stacey L Graden was assigned its 1255531752 on 2007-07-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Stacey L Graden, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stacey L Graden, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-23.

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