Lebanon Junction Dental Center, PLLC
Organization Active NPI Dental Clinic/Center · Lebanon Junction, KY
NPI 1104198019 · NPPES record last updated Mar 9, 2012
Key facts
- NPI
- 1104198019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 4935 (KY)
- Legal business name
- LEBANON JUNCTION DENTAL CENTER, PLLC
- Practice address
- 11737 S Preston Hwy
Lebanon Junction, KY 40150-8420 - Phone
- (502) 833-4664
- NPI assigned
- Feb 8, 2012
- Organization subpart
- No
Authorized official
- Name
- Stephen James
- Title
- Cfo
- Phone
- (502) 254-8504
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 4935 | KY | Yes |
Addresses
Primary practice location
11737 S Preston Hwy
Lebanon Junction, KY 40150-8420
Mailing address
PO Box 437169
Louisville, KY 40253-7169
Other providers in Lebanon Junction, KY
- Beelers Drugstore
- Shelby Kathleen Carter
- Luke H Derhake
- Function and Flow Occupational Therapy PLLC
- Tonya Hembree
- Brooke Lynn McCarthy
- Jayme Beth Meyer
- Mortenson Family Dental Center-Lebanon Junction, PLLC
- Ajit S Nanda
- Lindsey Raymer
All providers in Lebanon Junction, KY · Dental Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.