Sparkle And Shine Family Dental is a Dental Clinic in Louisville, Kentucky. It is located at 5316 S 3rd St, Louisville, KY and its contact number is 502-643-0560. The authorized person for Sparkle And Shine Family Dental is Dr. Mitisha Martin
who is Owner of the clinic and their contact number is 502-276-8778. The primary license number for Sparkle And Shine Family Dental is 8651 (General Practice) in Kentucky. Sparkle And Shine Family Dental 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:
Sparkle And Shine Family Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Sparkle And Shine Family Dental
Specialization:
General Practice Dentistry
Clinic Address:
5316 S 3rd St, Louisville, Kentucky, 40214
Phone:
502-643-0560
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. Mitisha Martin
Position:
Owner
Contact Number:
502-276-8778
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 Sparkle And Shine Family Dental clinic are as mentioned below.
NPI Number:
1477058659
NPI Enumeration Date:
28 Mar, 2018
NPI Last Update On:
01 Aug, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sparkle And Shine Family Dental are as mentioned below.
Specialization
License Number
State
Status
General Practice
8651
Kentucky
Primary
Dental
8651
Kentucky
Secondary
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
7100146420
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:
Sparkle And Shine Family Dental 5316 S 3rd St, Louisville, Kentucky
Zip:
40214-2612
Phone Number:
502-276-8778
Patients can reach Sparkle And Shine Family Dental at 5316 S 3rd St, Louisville, Kentucky or can call to book an appointment on 502-643-0560. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.