| Special Care Dental Of Kentucky Pllc | |
|
4350 Brownsboro Rd Ste 210 Louisville KY 40207-1681 | |
| (248) 528-2116 | |
| (502) 996-8282 |
| Full Name | Special Care Dental Of Kentucky Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4350 Brownsboro Rd Ste 210, Louisville, Kentucky |
| Authorized Official Name and Position | Lori Haines (OWNER) |
| Authorized Official Contact | 5022442420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Special Care Dental Of Kentucky Pllc 4350 Brownsboro Rd Ste 210 Louisville KY 40207-1681 Ph: (248) 528-2116 | Special Care Dental Of Kentucky Pllc 4350 Brownsboro Rd Ste 210 Louisville KY 40207-1681 Ph: (248) 528-2116 |
| NPI Number | 1295007383 |
|---|---|
| Provider Enumeration Date | 02/03/2012 |
| Last Update Date | 02/23/2026 |
| Medicare PECOS PAC ID | 2769763879 |
|---|---|
| Medicare Enrollment ID | O20170104001074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295007383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7590 (Kentucky) | Primary |
| Provider Name | Thomas B Cranfill |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1952469702 PECOS PAC ID: 2668753021 Enrollment ID: I20170105000775 |
| Provider Name | Jeffrey M Klein |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1386811487 PECOS PAC ID: 9537478532 Enrollment ID: I20170127000486 |
| Provider Name | Amy K Midkiff |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134264500 PECOS PAC ID: 5294017281 Enrollment ID: I20170127000682 |
| Provider Name | Sandra Crum-stevens |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487793113 PECOS PAC ID: 6305129040 Enrollment ID: I20170203000969 |
| Provider Name | John A Anderson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1326231267 PECOS PAC ID: 7810278660 Enrollment ID: I20170213000830 |
| Provider Name | Windy A Williams |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992955413 PECOS PAC ID: 9739462052 Enrollment ID: I20170213000911 |
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