D & D Dental Enterprises

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

D & D DENTAL ENTERPRISES

Practice address

6790 Dixie Hwy
Louisville, KY 40258

Phone

(502) 935-1414

NPI assigned

Jun 20, 2018

Organization subpart

Yes

Parent organization

KENTUCKIANA DENTAL GROUPAs reported in NPPES

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

Authorized official

Name

Adrienne Nicholson

Title

Office Manager

Phone

(812) 569-2955

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spring Family Dental Doing business as

Part of

Kentuckiana Dental Group

Locations

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1972097277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W BRUCE ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742319",
            "telephone_number": "812-523-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6790 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40258",
            "telephone_number": "502-935-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & D DENTAL ENTERPRISES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENTUCKIANA DENTAL GROUP",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-569-2955"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "81190630",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spring Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cypress Hill Home Care LLC
• Cypress Medical Associates, PSC
• John L Cyr Jr., D.M.D.
• Megan E Cyterski, APRN
• Sara Czoka, LCSW
• D & H Medical Transportation LLC
• D.R. Thomas V. Jacques D.C., PSC
• Joseph D'Ambrosio, PHD, LCSW, LMFT
• Brittani D'Angelo, PA-C
• Kimber Sippell D'Antoni, M.D.

• 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 Jun 20, 2018; 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.