| Kentucky Tongue-tie Center | |
|
6400 Westwind Way Ste C Crestwood KY 40014-6773 | |
| (502) 754-1607 | |
| (859) 207-5102 |
| Full Name | Kentucky Tongue-tie Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6400 Westwind Way Ste C, Crestwood, Kentucky |
| Authorized Official Name and Position | Austin Rodenberg (OWNER) |
| Authorized Official Contact | 2705729309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Tongue-tie Center 6400 Westwind Way Ste C Crestwood KY 40014-6773 Ph: (502) 754-1607 | Kentucky Tongue-tie Center 6400 Westwind Way Ste C Crestwood KY 40014-6773 Ph: (502) 754-1607 |
| NPI Number | 1629828470 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 03/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629828470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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