Professional Dental Services of Kentucky PSC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PROFESSIONAL DENTAL SERVICES OF KENTUCKY PSC

Doing business as

Bright Tiger Dental

Practice address

4814 Outer Loop Ste a
Louisville, KY 40219-3302

Phone

(502) 378-5479

NPI assigned

Apr 9, 2020

Last updated

Apr 9, 2020By 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 Guy

Title

Owner/DDS

Phone

(913) 355-1121

Specialties & licenses 1

Addresses

Other names 1

• Bright Tiger Dental Doing business as

Locations

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1699394783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 MISSION RD STE 240",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662062427",
            "telephone_number": "913-355-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4814 OUTER LOOP STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193302",
            "telephone_number": "502-378-5479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4960 Houston Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410425131",
            "country_code": "US",
            "telephone_number": "859-567-0465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Richmond Rd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091526",
            "country_code": "US",
            "telephone_number": "859-955-1905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2358 Nicholasville Rd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405033041",
            "country_code": "US",
            "telephone_number": "859-545-6997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3946 Taylorsville Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402201450",
            "country_code": "US",
            "telephone_number": "502-373-5124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4420 Dixie Hwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402162986",
            "country_code": "US",
            "telephone_number": "502-378-5803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2011 Grinstead Dr Unit 102",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402041296",
            "country_code": "US",
            "telephone_number": "502-771-3618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Carothers Rd",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "KY",
            "postal_code": "410712416",
            "country_code": "US",
            "telephone_number": "859-955-1906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL DENTAL SERVICES OF KENTUCKY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "913-355-1121"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Tiger Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raquel Marie Proctor, AUD
• Prodigal Son Life Builders
• Professional Advocacy LLC
• Professional Anesthesia Services of Kentucky PLLC
• Professional Assessment & Therapeutic Services PSC
• Professional Evaluation and Developmental Services
• Professional Physical Therapy Clinic LLC
• Progressive Medical & Rehabilitation Group
• Julia K Prohaska, PA
• Grace Promer

• 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 Apr 9, 2020; 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.