Cassie Wence, DMD
Individual provider Active NPI General Practice Dentistry · Louisville, KY
NPI 1457468530 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457468530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8015 (KY)
- Practice address
- 911 Palatka Rd
Louisville, KY 40214-3461 - Phone
- (502) 366-2448
- Fax
- (502) 366-3551
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8015 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mortenson Family Dental | Past | Accepting new patients | |
| Periodontic & Endodontic Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8015 | KY | Yes |
Addresses
Primary practice location
911 Palatka Rd
Louisville, KY 40214-3461
Mailing address
11708 Main St
Middletown, KY 40243-1426
Phone (502) 245-8627
Other providers in Louisville, KY
- Timothy Vincent Welsh
- Margaret S Welter
- Michael Dale Welter
- Lauren Page Wempe
- Kizito Wenani
- Christina Wendel
- Daniel Wendelin
- Mary L Wenke
- Beverly B. Wentworth
- Heidi L Wentworth
All providers in Louisville, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.