Pierce & Mitchell, P.S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PIERCE & MITCHELL, P.S.C.

Practice address

4825 S 3Rd St
Louisville, KY 40214-2152

Phone

(502) 366-6362

Fax

(502) 368-8600

NPI assigned

Oct 14, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Allen Deane Pierce Jr., D.M.D.

Title

President

Phone

(502) 366-6362

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245229079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402142152",
            "telephone_number": "502-366-6362",
            "fax_number": "502-368-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402142152",
            "telephone_number": "502-366-6362",
            "fax_number": "502-368-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE & MITCHELL, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "DEANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-366-6362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61900379",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sai Krishna Pidatala, MS, MBA
• Scott Randolph Piechocki, MD
• Natasha Pieczynski I, LMFT
• Addilyn B Pieper, OTR, OTD
• Patricia Kay Pieratt
• Allen Deane Pierce Jr., DMD
• Amy Melinda Pierce, ARNP
• Elyce Pierce
• Emily Rose Pierce, MSN, APRN, FNP-C
• Gabrielle Ann Pierce, BA, RBT

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.