Specialized Dental Services-Jefferson Mall, Pllc in Louisville - Dental
Specialized Dental Services-Jefferson Mall, Pllc - NPI 1033397914
Specialized Dental Services-Jefferson Mall, Pllc is a Dental in Louisville, Kentucky. Specialized Dental Services-Jefferson Mall, Pllc practices all healthcare services and medical treatments related to Dental. The NPI Number for Specialized Dental Services-Jefferson Mall, Pllc is 1033397914. The last update date is 2017-06-21.
Specialized Dental Services-Jefferson Mall, Pllc's current location address is 5100 Outer Loop, Louisville, Kentucky. You can contact this provider via phone number 5024101702. The mailing address for Specialized Dental Services-Jefferson Mall, Pllc is 5100 Outer Loop, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Specialized Dental Services-Jefferson Mall, Pllc |
|---|---|
| Address | 5100 Outer Loop, Louisville, Kentucky |
| Phone Number | 5024101702 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | James Steve |
| Telephone Number | 5022548504 |
NPI Number Detail
| NPI Number | 1033397914 |
|---|---|
| Provider Enumeration Date | 2008-02-04 |
| Last Updated Date | 2017-06-21 |
Provider Mailing Address Detail
| Address | 5100 Outer Loop |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402194056 |
| Phone Number | 5024101702 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the Specialized Dental Services-Jefferson Mall, Pllc's unique identification number?
The Specialized Dental Services-Jefferson Mall, Pllc has been assigned the NPI (National Provider Identifier) Number 1033397914 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Specialized Dental Services-Jefferson Mall, Pllc's facilities are geographically located?
The facilities of Specialized Dental Services-Jefferson Mall, Pllc are physically situated at the following location: 5100 Outer Loop, Louisville, KY, 402194056.
What is Specialized Dental Services-Jefferson Mall, Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Specialized Dental Services-Jefferson Mall, Pllc's area of specialization is Dental, and the corresponding taxonomy code that categorizes this field of practice is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033397914 to Specialized Dental Services-Jefferson Mall, Pllc?
The Centers for Medicare & Medicaid Services assigned the 1033397914 to Specialized Dental Services-Jefferson Mall, Pllc on 2008-02-04.
As of what date were the details related to Specialized Dental Services-Jefferson Mall, Pllc most recently updated or revised?
The information pertaining to Specialized Dental Services-Jefferson Mall, Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2017-06-21.
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