Periodontic & Endodontic Services
Organization Active NPI Dental Clinic/Center · Middletown, KY
NPI 1609054584 · NPPES record last updated Feb 4, 2008
Key facts
- NPI
- 1609054584
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- PERIODONTIC & ENDODONTIC SERVICES
- Practice address
- 11708 Main St
Middletown, KY 40243-1426 - Phone
- (502) 410-1702
- NPI assigned
- Feb 4, 2008
- Organization subpart
- No
Authorized official
- Name
- Steve James
- Title
- Coo
- Phone
- (502) 254-8504
Practitioners 12
-
Aaron Berger, DMD
-
Charles Bryan Fox, DMD
-
Robert Fuchs, DMD
-
Garry Meeks Jr., DMD
-
Anna Miller, DMD
-
Jeffery Mortenson, DMD
-
Matthew Mortenson, DMD
-
Todd Mortenson, DMD
-
Selena Pape, DDS
-
Danielle Renslow, DMD
-
Cassie Wence, DMD
National Provider Directory
Locations
11708 Main St
Middletown, KY 40243
Phone (502) 245-8627
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
11708 Main St
Middletown, KY 40243-1426
Mailing address
PO Box 437169
Louisville, KY 40253-7169
Other providers in Middletown, KY
- Michael Campbell Mullen
- Justin L Nierengarten
- Megan Oleksa
- Oral Surgery Group of Middletown, PLLC
- Dawn M Pennington
- Long Phan
- Kylie Rae Poremba
- Powerback Rehabilitation LLC
- Hannah Elizabeth Purdy
- Jonathan D Senters
All providers in Middletown, KY · Dental Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2008. 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.