Fourth St Dental Center Psc is a renowned Dental office in Louisville, Kentucky. It is located at 1018 South Fourth Street, Louisville, KY and its contact number is 502-585-4320. The authorized person for Fourth St Dental Center Psc is Dr. Rodney Brent Fultz
who is Sec Treas of the place and their contact number is 502-585-4320.
Fourth St Dental Center Psc Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Fourth St Dental Center Psc Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Fourth St Dental Center Psc
Specialization:
Dentistry
Address:
1018 South Fourth Street, Louisville, Kentucky, 40203
Phone:
502-585-4320
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Rodney Brent Fultz
Position:
Sec Treas
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 St Dental Center Psc Office are as mentioned below.
NPI Number:
1437205556
NPI Enumeration Date:
25 Jan, 2007
NPI Last Update On:
18 Dec, 2007
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 St Dental Center Psc are as mentioned below.
Specialization
License Number
State
Status
Dental
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the Office such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
61943270
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 St Dental Center Psc 1018 South Fourth Street, Louisville, Kentucky
Zip:
40203
Phone Number:
502-585-4320
Patients can reach Fourth St Dental Center Psc at 1018 South Fourth Street, 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 09 June, 2025.