Dental Sleep Medicine Of Kentucky, Psc
Durable Medical Equipment & Medical Supplies in Louisville, KY. Organization (NPI-2).
NPI number1932098613
StatusActive
Last updated in NPPESOct 31, 2025
Details
- NPI
- 1932098613
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Sleep Medicine Of Kentucky, Psc
- Organization subpart
- No
- Enumeration date
- Jun 30, 2025
- Certification date
- Oct 31, 2025
- Last updated
- Oct 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 122300000X | Dentist | – | – | |
| 1223G0001X | Dentist, General Practice | – | – |
Practice location
2811 Bardstown RdLouisville, KY 40205-2677
Phone 502-308-4546 · Fax 502-308-4243
Mailing address
2811 Bardstown RdLouisville, KY 40205-2677
Phone 502-308-4546 · Fax 502-308-4243
Authorized official
Christopher Joseph Costello
Owner
5023084546
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