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Contact Information

TRIPLE CROWN DENTISTRY
904 LILY CREEK ROAD
SUITE 101
LOUISVILLE, KY40243
 Phone: 502-409-4299
 Fax: 502-409-4309
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for TRIPLE CROWN DENTISTRY

NPI Number 1205366846
LBN Legal business name TRIPLE CROWN DENTISTRY
Authorized official MARY SHIELDS - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/15/2017
Last updated 06/15/2017 - About 9 years ago
Identifiers
KY License # 9076
KY License # 9305
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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