University Of Louisville School Of Dentistry

LBN: University Of Louisville
University Of Louisville School Of Dentistry is an health care organization with primary practice located at 501 S Preston St , Louisville KY 40202-1701. The organization recently has 10 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Radiology, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. University Of Louisville can be contacted via phone (502) 852-5096, or through Daugherty, Timothy C via phone (502) 852-0982.

Contact Information

Primary practice address
501 S Preston St Louisville KY 40202-1701
Phone: (502) 852-5096
Fax: (502) 852-1110
Website:
Map and Directions
Authorized official contact:
Name: Daugherty, Timothy C Doctor of Dental Medicine (DMD)
Phone: (502) 852-0982

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Prosthodontics 1223P0700X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Oral and Maxillofacial Radiology 1223X0008X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1861413098
LBN Legal business name University Of Louisville
DBA Doing business as University Of Louisville School Of Dentistry
Authorized official Daugherty, Timothy C Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 22nd, 2006
Last updated Jul 26th, 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 1861413098 NPPES
Kentucky Other 1151798 PASSPORT HEALTH PLAN SUHD
Kentucky MEDICAID 61940102 PASSPORT HEALTH PLAN SUHD
Kentucky MEDICAID 100001450A PASSPORT HEALTH PLAN SUHD
Kentucky Other 1049975 PASSPORT HEALTH PLAN SUHD
Kentucky Other 1048739 PASSPORT HEALTH PLAN SUHD

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