| Bardstown Road Dental Pllc | |
|
5300 Bardstown Rd Louisville KY 40291-1931 | |
| (502) 493-0302 | |
| Not Available |
| Full Name | Bardstown Road Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5300 Bardstown Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Taschtego Tinsley (DENTIST) |
| Authorized Official Contact | 5024930302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bardstown Road Dental Pllc 5300 Bardstown Rd Louisville KY 40291-1931 Ph: (502) 493-0302 | Bardstown Road Dental Pllc 5300 Bardstown Rd Louisville KY 40291-1931 Ph: (502) 493-0302 |
| NPI Number | 1003387630 |
|---|---|
| Provider Enumeration Date | 12/07/2018 |
| Last Update Date | 12/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003387630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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