Mattingly Orthodontics Psc

LBN: Mattingly Orthodontics Psc
Mattingly Orthodontics Psc is an health care organization with primary practice located at 1013 Dupont Sq N , Louisville KY 40207-4612. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Mattingly Orthodontics Psc can be contacted via phone (502) 895-3473, or through Mattingly, Chris L via phone (502) 895-3473.

Contact Information

Primary practice address
1013 Dupont Sq N Louisville KY 40207-4612
Phone: (502) 895-3473
Fax: (502) 897-3795
Website:
Map and Directions
Authorized official contact:
Name: Mattingly, Chris L Doctor of Dental Medicine (DMD)
Phone: (502) 895-3473

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 7289 Kentucky

Profile Details

NPI number 1316921703
LBN Legal business name Mattingly Orthodontics Psc
DBA Doing business as
Authorized official Mattingly, Chris L Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2005
Last updated Mar 6th, 2008 - about 17 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 1316921703 NPPES
Kentucky MEDICAID 60063435

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