Fourth Street Dental
LBN: Hayward Dental Group, P.S.C.
Fourth Street Dental is an health care organization with primary practice located at 1018 S 4Th St Suite 250, Louisville KY 40203-3221. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Hayward Dental Group, P.S.C. can be contacted via phone (502) 585-4320, or through Hayward, Theresa C. via phone (502) 585-4320.
Contact Information
Primary practice address
1018 S 4Th St Suite 250
Louisville KY 40203-3221
Phone: (502) 585-4320
Fax: (502) 585-4355
Website:
Authorized official contact:
Name: Hayward, Theresa C. Doctor of Dental Medicine (DMD)
Phone: (502) 585-4320
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 8389 | Kentucky |
Profile Details
NPI number | 1942475934 |
---|---|
LBN Legal business name | Hayward Dental Group, P.S.C. |
DBA Doing business as | Fourth Street Dental |
Authorized official | Hayward, Theresa C. Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 29th, 2008 |
Last updated | Apr 29th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942475934 | NPPES |
Kentucky | MEDICAID | 7100011840 |
Popular Providers
-
East End Family Dental Center
3022 Taylorsville Road , Louisville KY 40205 -
John C. Kall, D.M.D.
2323 Lime Kiln Ln , Louisville KY 40222-3416 -
Dr. Ryan & Associates, P.S.C.
1815 Bardstown Rd , Louisville KY 40205 -
Patrick M Carroll Dmd Psc
7513 New Lagrange Rd , Louisville KY 40222-4859 -
Lifetime Dental Care Of Kentucky, P.S.C. - Dr Wayne Olges
10031 Forest Green Blvd , Louisville KY 40223-5119 -
Broadway Dental Psc
1813 West Broadway , Louisville KY 40203 -
Sydney Ann Mullins Dma
1313 Lyndon Lane Ste 211, Louisville KY 40222 -
Lifetime Dental Care Of Ky Psc
219 Breckenridge Ln , Louisville KY 40207-3858