| Bbb - Dixie | |
|
5225 Dixie Hwy Louisville KY 40216-1758 | |
| (502) 447-8777 | |
| (502) 448-8240 |
| Full Name | Bbb - Dixie |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5225 Dixie Hwy, Louisville, Kentucky |
| Authorized Official Name and Position | Jeff Reibel (CFO) |
| Authorized Official Contact | 5022548500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bbb - Dixie Po Box 437169 Louisville KY 40253-7169 | Bbb - Dixie 5225 Dixie Hwy Louisville KY 40216-1758 Ph: (502) 447-8777 |
| NPI Number | 1568957066 |
|---|---|
| Provider Enumeration Date | 06/27/2018 |
| Last Update Date | 09/06/2023 |
| Certification Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568957066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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