Fisherville Dental PLLC

Organization Active NPI Dental Clinic/Center · Fisherville, KY

NPI 1174229348 · NPPES record last updated Jan 31, 2023

Key facts

NPI
1174229348
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
FISHERVILLE DENTAL PLLC
Practice address
6287 Taylorsville Road, BLDG 2, Ste a
Fisherville, KY 40023
Phone
(502) 477-6380
NPI assigned
Jan 31, 2023
Organization subpart
No

Authorized official

Name
Carol K Patel, DMD
Title
Owner
Phone
(502) 744-2384

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

6287 Taylorsville Rd
Ste 2
Fisherville, KY 40023
Phone (502) 253-9409

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Yes

Addresses

Primary practice location

6287 Taylorsville Road, BLDG 2, Ste a
Fisherville, KY 40023

Mailing address

6287 Taylorsville Road, BLDG 2, Ste a
Fisherville, KY 40023
Phone (502) 477-6380

Other identifiers

IdentifierTypeStateIssuer
1336572965OtherKYNPPES

Other names

  • Elite Family Dental Doing business as

Other providers in Fisherville, KY

All providers in Fisherville, KY · Dental Clinic/Center in Kentucky

Sources for this page

Verify at the official NPI Registry.