Fern Creek Dental, Pllc

NPI 1821187154 - Dentist - 1223G0001X

NPI Details
NPI 1821187154
Enumeration Date 10/12/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SCOTT A SCOTT
Position OWNER
Phone (502) 239-0881
Fax (502) 239-0887
Practice Location
5912 BARDSTOWN RD
LOUISVILLE KY, 40291-1957, US
Phone (502) 239-0881
Fax (502) 239-0887
Business Location
5912 BARDSTOWN RD
LOUISVILLE KY, 40291-1957, US
Phone (502) 239-0881
Fax (502) 239-0887
Toxanomy
Taxonomy Code 1223G0001X
License State Kentucky
License Number 6048
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According to our database, Fern Creek Dental, Pllc NPI is 1821187154, taxonomy code is 1223G0001X and license number is 6048, license state is located at Kentucky. Fern Creek Dental, Pllc physically located at 5912 Bardstown Rd, Louisville KY, 40291-1957. NPI Number 1033115704 has the healthcare provider type.

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1821187154 NPI number is provided on an as is basis without warranty of any kind. 1821187154 is maintained by the National Plan & Provider Enumeration System. The contents of Fern Creek Dental, Pllc are for informational purposes only.