| Advanced Dental Center, Inc. | |
|
8517 Preston Hwy Louisville KY 40219-5301 | |
| (502) 966-4367 | |
| (502) 966-4001 |
| Full Name | Advanced Dental Center, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8517 Preston Hwy, Louisville, Kentucky |
| Authorized Official Name and Position | Rachel Talis (OWNER) |
| Authorized Official Contact | 5029664367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Center, Inc. 8517 Preston Hwy Louisville KY 40219-5301 Ph: (502) 966-4367 | Advanced Dental Center, Inc. 8517 Preston Hwy Louisville KY 40219-5301 Ph: (502) 966-4367 |
| NPI Number | 1023180536 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 09/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023180536 | NPI | - | NPPES |
| 1477904498 | Other | KY | NPI |
| 60071180 | Medicaid | KY | |
| 7100317780 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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