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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

NPI # 1124330337
LBN Legal business name 3RD STREET FAMILY DENTAL
Authorized official KATHY DEGRAAFF - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/06/2010
Last updated 07/06/2010 - About 16 years ago
Identifiers n/a
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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