<Unavail>

LBN: Cane Run Smile Center, Inc.
<Unavail> is an health care organization with primary practice located at 3050 W Broadway , Louisville KY 40211-1475. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Cane Run Smile Center, Inc. can be contacted via phone (502) 778-2631, or through Riley, Susie J. via phone (502) 778-2631.

Contact Information

Primary practice address
3050 W Broadway Louisville KY 40211-1475
Phone: (502) 778-2631
Fax: (502) 776-3454
Website:
Map and Directions
Authorized official contact:
Name: Riley, Susie J. Doctor of Dental Medicine (DMD)
Phone: (502) 778-2631

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5214 Kentucky

Profile Details

NPI number 1649325457
LBN Legal business name Cane Run Smile Center, Inc.
DBA Doing business as <Unavail>
Authorized official Riley, Susie J. Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 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 1649325457 NPPES
Kentucky MEDICAID 61942785
Kentucky Other 168938

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