Denture City Plus LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTURE CITY PLUS LLC

Practice address

3023 Crums LN
Louisville, KY 40216-4471

Phone

(502) 447-3962

Fax

(502) 449-3737

NPI assigned

Mar 27, 2023

Last updated

Mar 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Todd Petrey, DMDNPI 1144323221

Title

Owner

Phone

(606) 224-3274

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• William Todd Petrey, DMD

  • General Practice Dentistry
  • East Bernstadt, KY
  • NPI 1144323221
  NPD Authorized official

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1609570662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 CRUMS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164471",
            "telephone_number": "502-447-3962",
            "fax_number": "502-449-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 CRUMS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164471",
            "telephone_number": "502-447-3962",
            "fax_number": "502-449-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTURE CITY PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "PETREY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-224-3274",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Sleep Medicine of Kentucky, PSC
• Dental Surgicenter of Louisville LLC
• Dental Surgicenter of Louisville LLC
• Dentist in Louisville LLC (Dentist in Louisville)
• Rachel Denton, PT, DPT
• Sarah M Denunzio
• Amanda L Denzik, DPM
• Cheryl I Denzik, NP
• Swapna D Deo, MD
• Catherine Tiffiney Deopere, P.T.

• 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 Mar 27, 2023; 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.