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Contact Information

ADVANCED DENTAL CENTER, INC.
8517 PRESTON HWY
LOUISVILLE, KY40219-5301
 Phone: 502-966-4367
 Fax: 502-966-4001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCED DENTAL CENTER INC · (Female)

NPI Number 1023180536
Status Active
Credentials
Entity Individual
Enumeration date 11/14/2006
Last updated 09/12/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY Medicaid 60071180
  • KY Medicaid 7100317780
  • KY Other 1477904498 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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