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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.

NPI # 1023180536
LBN Legal business name ADVANCED DENTAL CENTER, INC.
Authorized official RACHEL TALIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/14/2006
Last updated 09/12/2016 - About 10 years ago
Identifiers
KY Medicaid 60071180
KY Medicaid 7100317780
KY Other 1477904498 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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