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Contact Information

3RD STREET FAMILY DENTAL
3911 S 3RD ST
LOUISVILLE, KY40214-1601
 Phone: 502-368-5575
 Fax: 502-368-5596
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 3RD STREET FAMILY DENTAL · (Female)

NPI Number 1124330337
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2010
Last updated 07/06/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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