Organization · NPI-2

Advanced Dental Center, INC.

Dentist, General Practice · Louisville, KY

NPI number1295662203
StatusActive
Last updated in NPPESMay 5, 2026

Details

NPI
1295662203
Entity type
Organization (NPI-2)
Legal business name
Advanced Dental Center, INC.
Organization subpart
No
Enumeration date
May 5, 2026
Certification date
May 5, 2026
Last updated
May 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

10519 Taylorsville Rd
Louisville, KY 40299-3911

Phone 502-244-7531

Mailing address

10519 Taylorsville Rd
Louisville, KY 40299-3911

Phone 502-244-7531

Authorized official

Mark Talis
Coo
5029664367

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