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Contact Information

ADVANCED DENTAL CENTER, INC.
1901 RUDY LN STE 4
LOUISVILLE, KY40207-1384
 Phone: 502-966-4367
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCED DENTAL CENTER, INC.

NPI Number 1922580653
LBN Legal business name ADVANCED DENTAL CENTER, INC.
Authorized official RACHEL TALIS - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/29/2018
Last updated 06/11/2019 - About 7 years ago
Identifiers
KY License # 7118
KY Medicaid 61900353
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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