| One Stop Smile Shop Llc | |
| 
					1477 Bloomfield Rd Taylorsville KY 40071-9009  | |
| (502) 902-6120 | |
| Not Available | 
| Full Name | One Stop Smile Shop Llc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 1477 Bloomfield Rd, Taylorsville, Kentucky | 
| Authorized Official Name and Position | Lynn Shelburne (OWNER) | 
| Authorized Official Contact | 5029026120 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| One Stop Smile Shop Llc 1477 Bloomfield Rd Taylorsville KY 40071-9009 Ph: (502) 902-6120  | One Stop Smile Shop Llc 1477 Bloomfield Rd Taylorsville KY 40071-9009 Ph: (502) 902-6120  | 
| NPI Number | 1174045306 | 
|---|---|
| Provider Enumeration Date | 07/10/2017 | 
| Last Update Date | 07/21/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174045306 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
James R Strong Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 153 Main Street, Taylorsville, KY 40071 Phone: 502-477-8444  |