Dixie Dental and Dentures LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DIXIE DENTAL AND DENTURES LLC

Doing business as

Dixie Dental and Dentures LLC

Practice address

1480 Dixie Hwy
Louisville, KY 40210-1768

Phone

(502) 778-7414

NPI assigned

Apr 8, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Michael H Jessie, CDT

Title

Owner

Phone

(502) 905-0026

Specialties & licenses 1

Addresses

Other names 1

• Dixie Dental and Dentures LLC Doing business as

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1639759392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402101768",
            "telephone_number": "502-778-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402101768",
            "telephone_number": "502-778-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXIE DENTAL AND DENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "JESSIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-905-0026",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CDT"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dixie Dental and Dentures LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Divine Steps Inc.
• Marissa Grace Dix, BS, RBT
• Nannette Bertram Dix, CSW
• Dixie Chiropractic & Rehabilitation, PSC
• Dixie Chiropractic Office, P.S.C. (Alliance Chiropractic)
• Dixie Dental Center
• Dixie Dental Center PSC
• Dixie Infusion Clinic, LLC (Vital Care Infusion)
• Dixie Pharmacy LLC
• Dixie Primary Care LLC

• 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 Apr 8, 2021; 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.