NPI 1013532415

Tds Ky Five

Organisation Dental Clinic/Center Louisville, KY

Practice location

Address: 156 Thierman Ln, Louisville, KY 40207-5010
Phone: (502) 896-2822

Authorised official

Name: Adrienne Nicholson
Title: Regional Manager
Phone: (812) 569-2955

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Kentucky →

Registry record

NPI: 1013532415
Entity type: Organization
NPI issued: 11 Jun 2020
Record last updated: 11 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.