| Special Care Dental Of Kentucky Pllc | |
|
12910 Shelbyville Rd Suite 300 Louisville KY 40243-2404 | |
| (502) 214-0693 | |
| (502) 254-4077 |
| Full Name | Special Care Dental Of Kentucky Pllc |
|---|---|
| Speciality | Dentist |
| Location | 12910 Shelbyville Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Thomas Cranfill (PRESIDENT) |
| Authorized Official Contact | 5022140693 |
| 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 Po Box 436149 Louisville KY 40253-6149 Ph: (502) 214-0693 | Special Care Dental Of Kentucky Pllc 12910 Shelbyville Rd Suite 300 Louisville KY 40243-2404 Ph: (502) 214-0693 |
| NPI Number | 1295007383 |
|---|---|
| Provider Enumeration Date | 02/03/2012 |
| Last Update Date | 02/03/2012 |
| 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 |
Bardstown Road Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 Bardstown Rd, Louisville, KY 40291 Phone: 502-493-0302 | |
Mortenson Family Dental Center - Dixie At Rockford Lane, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4740 Dixie Hwy, Louisville, KY 40216 Phone: 502-447-8992 | |
Bbb - Fern Creek Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9360 Cedar Center Way, Louisville, KY 40291 Phone: 502-239-9070 Fax: 502-239-9078 | |
Tds Ky Five Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 Thierman Ln, Louisville, KY 40207 Phone: 502-896-2822 | |
Dental Health Professionals Of Kentucky, P.s.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7704 Bardstown Rd, Louisville, KY 40291 Phone: 502-200-5220 | |
Advanced Dental Center, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8517 Preston Hwy, Louisville, KY 40219 Phone: 502-966-4367 Fax: 502-966-4001 | |
Drs. Graham And Fortune, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9001 Galene Dr, Louisville, KY 40299 Phone: 502-267-8176 Fax: 502-267-8177 |