One Stop Smile Shop LLC
Organization Active NPI Dental Clinic/Center · Taylorsville, KY
NPI 1174045306 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1174045306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- ONE STOP SMILE SHOP LLC
- Practice address
- 1477 Bloomfield Rd
Taylorsville, KY 40071-9009 - Phone
- (502) 902-6120
- NPI assigned
- Jul 10, 2017
- Organization subpart
- No
Authorized official
- Name
- Lynn Shelburne, DMD
- Title
- Owner
- Phone
- (502) 902-6120
Practitioners 1
-
Lynn Ellen Shelburne, DMD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
1477 Bloomfield Rd
Taylorsville, KY 40071-9009
Mailing address
1477 Bloomfield Rd
Taylorsville, KY 40071-9009
Phone (502) 902-6120
Other providers in Taylorsville, KY
- Timothy W Nichols
- North Central District Health Dept
- North Central District Health Dept
- North Central District Health Dept
- North Central District Health Dept.
- Anne Schuchardt Ott
- Park Duvalle Community Health Center, Inc
- Park Duvalle Community Health Center, Inc.
- Austin Michael Peters
- Piphus Case Management LLC
All providers in Taylorsville, 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 Jul 21, 2022. 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.