Organization · NPI-2

A Choice Dental Care PLLC

Dentist, General Practice · Louisville, KY

NPI number1992929954
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1992929954
Entity type
Organization (NPI-2)
Legal business name
A Choice Dental Care PLLC
Organization subpart
No
Enumeration date
Apr 12, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice5765KYYes

Practice location

111 Fairfax Ave
Louisville, KY 40207-4905

Phone 502-895-1171 · Fax 502-899-7197

Mailing address

111 Fairfax Ave
Louisville, KY 40207-4905

Phone 502-895-1171 · Fax 502-899-7197

Authorized official

Robert Earl Cooper
Ceo
5028951171

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