| Louisville Dental Associates | |
|
801 Barret Ave Louisville KY 40204-1747 | |
| (502) 582-2004 | |
| (502) 582-2032 |
| Full Name | Louisville Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 801 Barret Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Sandra Leigh Payne (OWNER) |
| Authorized Official Contact | 5025822004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisville Dental Associates 801 Barret Ave #107 Louisville KY 40204-1747 Ph: (502) 582-2004 | Louisville Dental Associates 801 Barret Ave Louisville KY 40204-1747 Ph: (502) 582-2004 |
| NPI Number | 1023435823 |
|---|---|
| Provider Enumeration Date | 03/19/2014 |
| Last Update Date | 03/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023435823 | NPI | - | NPPES |
| 60064375 | Medicaid | KY | |
| 60064516 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
News Archive
Lung Cancer Alliance received the Leadership in Advocacy Award at today's forum of the Congressional Black Caucus Health Braintrust in Washington D.C.
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