Cane Run Smile Center, Inc.

LBN: Cane Run Smile Center, Inc.
Cane Run Smile Center, Inc. is an health care organization with primary practice located at 4516 Cane Run Rd , Louisville KY 40216-3422. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Cane Run Smile Center, Inc. can be contacted via phone (502) 448-1003, or through Riley, Susie J. via phone (502) 448-1003.

Contact Information

Primary practice address
4516 Cane Run Rd Louisville KY 40216-3422
Phone: (502) 448-1003
Fax: (502) 371-8161
Website:
Map and Directions
Authorized official contact:
Name: Riley, Susie J. Doctor of Dental Medicine (DMD)
Phone: (502) 448-1003

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5214 Kentucky

Profile Details

NPI number 1871647438
LBN Legal business name Cane Run Smile Center, Inc.
DBA Doing business as
Authorized official Riley, Susie J. Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Feb 9th, 2017 - about 8 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 1871647438 NPPES
Kentucky Other 168937 MEDICAID SUBCONTRACTOR #
Kentucky MEDICAID 61942785 MEDICAID SUBCONTRACTOR #

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