Organization Active NPI

Villalon Dental PLLC

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1205783909
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VILLALON DENTAL PLLC
Practice address
2821 S Hurstbourne Pkwy Ste 7
Louisville, KY 40220-4124
Phone
(502) 295-1908
NPI assigned
Mar 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alicia Maria Tenrrero Villalon, DMDNPI 1598327371
Title
Owner
Phone
(502) 295-1908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2821 S Hurstbourne Pkwy Ste 7
Louisville, KY 40220-4124

Mailing address

2821 S Hurstbourne Pkwy Ste 7
Louisville, KY 40220-4124

National Provider Directory

National Provider Directory

Locations

2821 S Hurstbourne Pkwy
Ste 7
Louisville, KY 40220
Phone (502) 295-1908

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1205783909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 S HURSTBOURNE PKWY STE 7",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 S HURSTBOURNE PKWY STE 7",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204124",
            "telephone_number": "502-295-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLALON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "TENRRERO VILLALON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-295-1908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.