institution
Portland Dental Psc
Dental Clinic/Center in Louisville, Kentucky
NPI 1528118601

Portland Dental Psc is a Dental Clinic/Center based in Louisville, KY and is specialized in Dental. Portland Dental Psc practices in Louisville, KY. The NPI Number for Portland Dental Psc is 1528118601 and holds a License No. (Kentucky).

The current practice location address for Portland Dental Psc is 465 North 26Th Street, Louisville, KY and can be reached out via phone at 502-778-7678.

Location: 465 North 26Th Street, Louisville, KY, 40212
institution
Provider Profile Details
NPI Number
1528118601
Provider Name
Portland Dental Psc
Credential
Provider Entity Type
Organization
Address
465 North 26Th Street, Louisville, KY, 40212
Phone Number
502-778-7678
Fax Number
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61942447 05 KY
institution
Provider Business Practice Location Address Details
Address
465 North 26Th Street
City
State
Zip
40212
Phone Number
502-778-7678
Fax Number
person
Provider Business Mailing Address Details
Address
465 North 26Th Street
City
State
Zip
40212
Phone Number
502-778-7678
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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