Kentucky05 is a Dental Clinic in Louisville, Kentucky. This organization is also known as sub part of Community Care Of Kentucky, Inc. It is located at 3438 Taylor Blvd, Louisville, KY and its contact number is 502-366-4442. The authorized person for Kentucky05 is Mandy Holland
who is Credentialing Manager of the clinic and their contact number is 256-504-3326. Other organizations associated with this clinic are Community Care Of Kentucky, Inc, Community Care Of Kentucky Inc., Community Care Of Kentucky, Inc, Louisville Smiles Youth Dentistry, Psc, Kentucky05 Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Kentucky05 Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Kentucky05
Specialization:
General Practice Dentistry
Clinic Address:
3438 Taylor Blvd, Louisville, Kentucky, 40215-2648
Phone:
502-366-4442
Fax:
502-366-4446
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mandy Holland
Position:
Credentialing Manager
Contact Number:
256-504-3326
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kentucky05 clinic are as mentioned below.
NPI Number:
1194103127
Parent Organization:
Community Care Of Kentucky, Inc
NPI Enumeration Date:
11 May, 2015
NPI Last Update On:
11 May, 2015
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Community Care Of Kentucky, Inc
General Practice Dentistry
1194103127
Community Care Of Kentucky Inc.
General Practice Dentistry
1407260052
Community Care Of Kentucky, Inc
General Practice Dentistry
1851779888
Louisville Smiles Youth Dentistry, Psc
General Practice Dentistry
1952528937
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kentucky05 are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kentucky05 Po Box 2369, Anniston, Alabama
Zip:
36202-2369
Phone Number:
256-241-3965
Fax Number:
256-241-1698
Patients can reach Kentucky05 at 3438 Taylor Blvd, Louisville, Kentucky or can call to book an appointment on 502-366-4442. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.