Sydney Ann Mullins Dma | |
1313 Lyndon Lane Ste 211 Louisville KY 40222 | |
(502) 412-1166 | |
(502) 339-0433 |
Full Name | Sydney Ann Mullins Dma |
---|---|
Speciality | Dentist |
Location | 1313 Lyndon Lane, Louisville, Kentucky |
Authorized Official Name and Position | Sydney Ann Mullins (OWNER) |
Authorized Official Contact | 5024121166 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sydney Ann Mullins Dma 1313 Lyndon Lane Ste 211 Louisville KY 40222 Ph: (502) 412-1166 | Sydney Ann Mullins Dma 1313 Lyndon Lane Ste 211 Louisville KY 40222 Ph: (502) 412-1166 |
NPI Number | 1053462622 |
---|---|
Provider Enumeration Date | 01/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053462622 | NPI | - | NPPES |
60073236 | Medicaid | KY | |
4500353000 | Other | KY | EPSDT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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