| Pediatric Dentistry Of Oldham Countyq | |
|
1000 Buckner Ctr Suite 3 La Grange KY 40031-7790 | |
| (502) 222-8848 | |
| (502) 222-9319 |
| Full Name | Pediatric Dentistry Of Oldham Countyq |
|---|---|
| Speciality | Dentist |
| Location | 1000 Buckner Ctr, La Grange, Kentucky |
| Authorized Official Name and Position | Tracy Leann Kim (DENTISTR/OWNER) |
| Authorized Official Contact | 5022228848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Oldham Countyq 1000 Buckner Ctr Suite 3 La Grange KY 40031-7790 Ph: (502) 222-8848 | Pediatric Dentistry Of Oldham Countyq 1000 Buckner Ctr Suite 3 La Grange KY 40031-7790 Ph: (502) 222-8848 |
| NPI Number | 1033555982 |
|---|---|
| Provider Enumeration Date | 05/20/2013 |
| Last Update Date | 05/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033555982 | NPI | - | NPPES |
| 1538156849 | Other | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7129 (Kentucky) | Primary |
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 | |
Kids Dentistry-lagrange, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2005 S Highway 53, Suite D, La Grange, KY 40031 Phone: 502-225-6820 |