South Louisville Dental Specialists Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SOUTH LOUISVILLE DENTAL SPECIALISTS INC

Practice address

4825 S 3Rd St
Louisville, KY 40214-2152

Phone

(502) 361-8988

Fax

(502) 361-8230

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. Arthur L. Wickson, D.M.D.

Title

Co-Owner

Phone

(502) 361-8988

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1548259377",
    "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": "502-361-8988",
            "fax_number": "502-361-8230"
        },
        {
            "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": "502-361-8988",
            "fax_number": "502-361-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LOUISVILLE DENTAL SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "WICKSON",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "502-361-8988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soul Solutions
• Karissa Margaret Souleotes, MS, BCBA, LBA
• Matthew Sousa, M.D.
• Wesley A Soutar, DNP CRNA
• South Louisville Community Ministries Adult Day Center
• South Louisville Pediatrics PSC
• Adam J Southall, D.P.T.
• Kiley Katherine Southall, MD
• William Robert Southall
• Tabitha Southard

• Dentist in Louisville, KY
• Providers in Louisville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.