Advanced Dental Center Brooks
Organization Active NPI Dental Clinic/Center · Brooks, KY
NPI 1689217523 · NPPES record last updated Oct 23, 2019
Key facts
- NPI
- 1689217523
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- ADVANCED DENTAL CENTER BROOKS
- Practice address
- 1064 Brooks Hill Rd
Brooks, KY 40109-5149 - Phone
- (502) 955-1084
- NPI assigned
- Oct 23, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVANCED DENTAL CENTER, INC
Authorized official
- Name
- Dr. Rachel Talis, DMD
- Title
- President
- Phone
- (502) 966-4367
Corporate family (same tax ID) 3
Practitioners 9
-
Rachel Talis, DMD
-
Sierra Morris, DMD
-
Austin Talis, DDS
-
Nathan Anderson, DMD
-
Eliza Janeen Gilbert, D.M.D.
-
Jason Byron McNabb, D.M.D.
-
Anah Carol Switzer, DMD
National Provider Directory
- Tax ID family
- Advanced Dental Center Brooks
- Part of
- Advanced Dental Center Brooks
Locations
1064 Brooks Hill Rd
Brooks, KY 40109
Phone (502) 955-1084
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
1064 Brooks Hill Rd
Brooks, KY 40109-5149
Mailing address
8517 Preston Hwy
Louisville, KY 40219-5301
Phone (502) 966-4367
Other names
- Advanced Dental Center Brooks
Other providers in Brooks, KY
- Mindy Jo Ashford
- Cynthia Leigh Byrd
- Caremetx Pharmacy, LLC
- Cencora Patient Services, LLC
- Rebekah Lynn Donovan
All providers in Brooks, 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 Oct 23, 2019. 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.