| Kids Dentistry-lagrange, Pllc | |
|
2005 S Highway 53 Suite D La Grange KY 40031-9109 | |
| (502) 225-6820 | |
| Not Available |
| Full Name | Kids Dentistry-lagrange, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2005 S Highway 53, La Grange, Kentucky |
| Authorized Official Name and Position | Setphen James (CFO) |
| Authorized Official Contact | 5022548504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dentistry-lagrange, Pllc Po Box 437169 Louisville KY 40253-7169 Ph: () - | Kids Dentistry-lagrange, Pllc 2005 S Highway 53 Suite D La Grange KY 40031-9109 Ph: (502) 225-6820 |
| NPI Number | 1104196989 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 01/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104196989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Pediatric Dentistry Of Oldham Countyq Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Buckner Ctr, Suite 3, La Grange, KY 40031 Phone: 502-222-8848 Fax: 502-222-9319 | |
Braces Braces Braces Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2005 S Highway 53, Suite B, La Grange, KY 40031 Phone: 502-222-4613 Fax: 502-225-0882 |