Advanced Dental Center East

LBN: Advanced Dental Center, Inc.
Advanced Dental Center East is an health care organization with primary practice located at 1901 Rudy Ln Ste 4 , Louisville KY 40207-1384. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Advanced Dental Center, Inc. can be contacted via phone (502) 966-4367, or through Talis, Rachel via phone (502) 966-4367.

Contact Information

Primary practice address
1901 Rudy Ln Ste 4 Louisville KY 40207-1384
Phone: (502) 966-4367
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Talis, Rachel Doctor of Dental Medicine (DMD)
Phone: (502) 966-4367

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7118 Kentucky

Profile Details

NPI number 1922580653
LBN Legal business name Advanced Dental Center, Inc.
DBA Doing business as Advanced Dental Center East
Authorized official Talis, Rachel Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 29th, 2018
Last updated Jun 11th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922580653 NPPES
Kentucky MEDICAID 61900353

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