| American Family Dental Group | |
|
12802 Townepark Way Suite 100 Louisville KY 40243-2308 | |
| (502) 423-9111 | |
| (502) 423-9330 |
| Full Name | American Family Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 12802 Townepark Way, Louisville, Kentucky |
| Authorized Official Name and Position | Tim Hoagland (CEO) |
| Authorized Official Contact | 5024239111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Family Dental Group 12802 Townepark Way Suite 100 Louisville KY 40243-2308 Ph: (502) 423-9111 | American Family Dental Group 12802 Townepark Way Suite 100 Louisville KY 40243-2308 Ph: (502) 423-9111 |
| NPI Number | 1598825770 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 12/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598825770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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