Sara Alhachache, DDS
Individual provider Active NPI Periodontics · Louisville, KY
NPI 1689373300 · NPPES record last updated Mar 2, 2023
Key facts
- NPI
- 1689373300
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 10874 (KY)
- Practice address
- 501 S Preston St RM 312
Louisville, KY 40202-1701 - Phone
- (502) 852-3482
- Fax
- (502) 852-1317
- NPI assigned
- Mar 2, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 10874 | KY | Yes |
Addresses
Primary practice location
501 S Preston St RM 312
Louisville, KY 40202-1701
Mailing address
501 S Preston St RM 312
Louisville, KY 40202-1701
Phone (502) 852-3482
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2023. 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.