Gentle Excellence Dental, Pllc

LBN: Gentle Excellence Dental, Pllc
Gentle Excellence Dental, Pllc is an health care organization with primary practice located at 4133 Taylor Blvd , Louisville KY 40215-2341. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Gentle Excellence Dental, Pllc can be contacted via phone (502) 368-8400, or through Mclean, Thomas R via phone (502) 368-8400.

Contact Information

Primary practice address
4133 Taylor Blvd Louisville KY 40215-2341
Fax: (502) 368-8423
Website:
Authorized official contact:
Name: Mclean, Thomas R

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1275521536
LBN Legal business name Gentle Excellence Dental, Pllc
DBA Doing business as
Authorized official Mclean, Thomas R
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated May 1st, 2014 - about 11 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 1275521536 NPPES
Kentucky Other 45608247 EPSDT
Kentucky MEDICAID 61943155 EPSDT

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