Organization Active NPI

Advanced Dental Center, Inc.

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1265377535
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ADVANCED DENTAL CENTER, INC.
Practice address
107 N Watterson TRL Ste 101
Louisville, KY 40243-1381
Phone
(502) 245-5620
NPI assigned
Apr 22, 2026
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Dr. Rachel Talis
Title
Owner
Phone
(502) 245-5620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

107 N Watterson TRL Ste 101
Louisville, KY 40243-1381

Mailing address

107 N Watterson TRL Ste 101
Louisville, KY 40243-1381
Phone (502) 245-5620

National Provider Directory

National Provider Directory

Locations

107 Watterson Trl
Ste 101
Middletown, KY 40243
Phone (502) 245-5620

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1265377535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N WATTERSON TRL STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431381",
            "telephone_number": "502-245-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N WATTERSON TRL STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431381",
            "telephone_number": "502-245-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "TALIS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-245-5620",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_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 Apr 22, 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.