Fourth Street Dental is a Dental Clinic in Louisville, Kentucky. It is located at 1018 S 4th St, Suite 250, Louisville, KY and its contact number is 502-585-4320. The authorized person for Fourth Street Dental is Dr. Theresa C. Hayward
who is President of the clinic and their contact number is 502-585-4320. The primary license number for Fourth Street Dental is 8389 (Dentist) in Kentucky. Fourth Street Dental Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Fourth Street Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Fourth Street Dental
Specialization:
Dentistry
Clinic Address:
1018 S 4th St, Suite 250, Louisville, Kentucky, 40203-3221
Phone:
502-585-4320
Fax:
502-585-4355
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:
Dr. Theresa C. Hayward
Position:
President
Contact Number:
502-585-4320
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 Fourth Street Dental clinic are as mentioned below.
NPI Number:
1942475934
NPI Enumeration Date:
29 Apr, 2008
NPI Last Update On:
29 Apr, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fourth Street Dental are as mentioned below.
Specialization
License Number
State
Status
Dentist
8389
Kentucky
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7100011840
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Fourth Street Dental 1018 S 4th St, Suite 250 Louisville, Kentucky
Zip:
40203-3221
Phone Number:
502-585-4320
Fax Number:
502-585-4355
Patients can reach Fourth Street Dental at 1018 S 4th St, Suite 250, Louisville, Kentucky or can call to book an appointment on 502-585-4320. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.