Specialized Dental Services-Jefferson Mall, Pllc

LBN: Specialized Dental Services-Jefferson Mall, Pllc
Specialized Dental Services-Jefferson Mall, Pllc is an health care organization with primary practice located at 5100 Outer Loop Suite B, Louisville KY 40219-4056. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Anesthesiology, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Specialized Dental Services-Jefferson Mall, Pllc can be contacted via phone (502) 410-1702, or through Reibel, Jeffrey via phone (502) 254-8526.

Contact Information

Primary practice address
5100 Outer Loop Suite B Louisville KY 40219-4056
Phone: (502) 410-1702
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reibel, Jeffrey
Phone: (502) 254-8526

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1033397914
LBN Legal business name Specialized Dental Services-Jefferson Mall, Pllc
DBA Doing business as
Authorized official Reibel, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2008
Last updated Aug 2nd, 2024 - about 2 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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