The Center for Aesthetic & Implant Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE CENTER FOR AESTHETIC & IMPLANT DENTISTRY

Practice address

12010 Shelbyville Rd Ste 100
Louisville, KY 40243-1095

Phone

(502) 589-4671

Fax

(502) 589-6584

NPI assigned

Sep 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Bryan T. Harris, DMDNPI 1821288853

Title

Owner

Phone

(502) 403-0686

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Bryan T. Harris, DMD

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1821288853
  NPD (past) Authorized official
• David C Jones, DMD

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1740383629
  NPD (past)

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1447733753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12010 SHELBYVILLE RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431095",
            "telephone_number": "502-589-4671",
            "fax_number": "502-589-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 SHELBYVILLE RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431095",
            "telephone_number": "502-589-4671",
            "fax_number": "502-589-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR AESTHETIC & IMPLANT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-403-0686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.