Specialized Dental Services-jefferson Mall, Pllc
Oral and Maxillofacial Dental Clinic
5100 Outer Loop, Suite B, Louisville
Kentucky, 40219-4056
502-410-1702 Maps & DirectionsSpecialized 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.
| Specialization | License Number | State | Status | |
| 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.