Shawnee Dental, Pllc.

LBN: Shawnee Dental, Pllc.
Shawnee Dental, Pllc. is an health care organization with primary practice located at 222 Amy Ave , Louisville KY 40212-2522. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Shawnee Dental, Pllc. can be contacted via phone (502) 774-2400, or through Mclean, Thomas E via phone (502) 774-2400.

Contact Information

Primary practice address
222 Amy Ave Louisville KY 40212-2522
Phone: (502) 774-2400
Fax: (502) 742-3456
Website:
Map and Directions
Authorized official contact:
Name: Mclean, Thomas E
Phone: (502) 774-2400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Kentucky

Profile Details

NPI number 1316935661
LBN Legal business name Shawnee Dental, Pllc.
DBA Doing business as
Authorized official Mclean, Thomas E
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 21st, 2022 - about 4 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 1316935661 NPPES
Kentucky MEDICAID 61943148

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