Specialized Dental Services-jefferson Mall, Pllc

Oral and Maxillofacial Dental Clinic

 
5100 Outer Loop, Suite B, Louisville
    Kentucky, 40219-4056

 502-410-1702    Maps & Directions
Specialized Dental Services-jefferson Mall, Pllc is a Oral and Maxillofacial Dental Clinic in Louisville, Kentucky. It is located at 5100 Outer Loop, Suite B, Louisville, KY and its contact number is 502-410-1702. The authorized person for Specialized Dental Services-jefferson Mall, Pllc is Jeffrey Reibel who is Chief Financial Officer of the clinic and their contact number is 502-254-8526.
Specialized Dental Services-jefferson Mall, Pllc Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Specialized Dental Services-jefferson Mall, Pllc Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointments.
Name: Specialized Dental Services-jefferson Mall, Pllc
Specialization: Oral and Maxillofacial Surgery
Clinic Address:5100 Outer Loop, Suite B, Louisville,
Kentucky, 40219-4056
Phone:502-410-1702
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: Jeffrey Reibel
Position: Chief Financial Officer
Contact Number: 502-254-8526
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 Specialized Dental Services-jefferson Mall, Pllc clinic are as mentioned below.
NPI Number: 1033397914
NPI Enumeration Date: 04 Feb, 2008
NPI Last Update On: 02 Aug, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Specialized Dental Services-jefferson Mall, Pllc are as mentioned below.
SpecializationLicense NumberStateStatus
Dental Primary
Oral and Maxillofacial Surgery Secondary
Anesthesiology Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Specialized Dental Services-jefferson Mall, Pllc
Po Box 437169,
Louisville, Kentucky
Zip: 40253-7169
Phone Number: --
Patients can reach Specialized Dental Services-jefferson Mall, Pllc at 5100 Outer Loop, Suite B, Louisville, Kentucky or can call to book an appointment on 502-410-1702. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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