A Choice Dental Care Pllc

LBN: A Choice Dental Care Pllc
A Choice Dental Care Pllc is an health care organization with primary practice located at 111 Fairfax Ave , Louisville KY 40207-4905. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. A Choice Dental Care Pllc can be contacted via phone (502) 895-1171, or through Cooper, Robert Earl via phone (502) 895-1171.

Contact Information

Primary practice address
111 Fairfax Ave Louisville KY 40207-4905
Phone: (502) 895-1171
Fax: (502) 899-7197
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Robert Earl Doctor of Dental Medicine (DMD)
Phone: (502) 895-1171

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5765 Kentucky

Profile Details

NPI number 1992929954
LBN Legal business name A Choice Dental Care Pllc
DBA Doing business as
Authorized official Cooper, Robert Earl Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992929954 NPPES
Kentucky MEDICAID 015370

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