Fern Creek Dental, PLLC

Organization Active NPI General Practice Dentistry · Louisville, KY

NPI 1821187154 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1821187154
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
6048 (KY)
Legal business name
FERN CREEK DENTAL, PLLC
Practice address
5912 Bardstown Rd
Louisville, KY 40291-1957
Phone
(502) 239-0881
Fax
(502) 239-0887
NPI assigned
Oct 12, 2006
Organization subpart
No

Authorized official

Name
Dr. Scott A Riley, D.M.D.
Title
Owner
Phone
(502) 239-0881

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 6048 KY Yes

Addresses

Primary practice location

5912 Bardstown Rd
Louisville, KY 40291-1957

Mailing address

5912 Bardstown Rd
Louisville, KY 40291-1957
Phone (502) 239-0881

Other providers in Louisville, KY

All providers in Louisville, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.