| Kids Dentistree - Shepherdsville, Pllc | |
|
1779 Highway 44 E Suite 200 Shepherdsville KY 40165-6132 | |
| (502) 281-4860 | |
| (502) 883-6995 |
| Full Name | Kids Dentistree - Shepherdsville, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1779 Highway 44 E, Shepherdsville, Kentucky |
| Authorized Official Name and Position | Stephen James (CFO) |
| Authorized Official Contact | 5022548500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dentistree - Shepherdsville, Pllc 1779 Highway 44 E Suite 200 Shepherdsville KY 40165-6132 Ph: (502) 281-4860 | Kids Dentistree - Shepherdsville, Pllc 1779 Highway 44 E Suite 200 Shepherdsville KY 40165-6132 Ph: (502) 281-4860 |
| NPI Number | 1023496676 |
|---|---|
| Provider Enumeration Date | 05/15/2015 |
| Last Update Date | 05/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023496676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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