Louisville Smiles Youth Dentistry, Psc

LBN: Louisville Smiles Youth Dentistry, Psc
Louisville Smiles Youth Dentistry, Psc is an health care organization with primary practice located at 3438 Taylor Blvd , Louisville KY 40215-2648. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Louisville Smiles Youth Dentistry, Psc can be contacted via phone (502) 366-4442, or through Stump, Jenell via phone (615) 750-0343.

Contact Information

Primary practice address
3438 Taylor Blvd Louisville KY 40215-2648
Phone: (502) 366-4442
Fax: (502) 366-4446
Website:
Map and Directions
Authorized official contact:
Name: Stump, Jenell
Phone: (615) 750-0343

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1952528937
LBN Legal business name Louisville Smiles Youth Dentistry, Psc
DBA Doing business as
Authorized official Stump, Jenell
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 9th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952528937 NPPES
Kentucky MEDICAID 7100001490
Kentucky MEDICAID 200892040A

Popular Providers