Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blystone Dental PLLC

Organization Dental Clinic/Center · NPI 1104675875

Blystone Dental PLLC is a Dental Clinic/Center in Louisville, Kentucky. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

642 Baxter Ave Ste 110
Louisville, KY 40204-1795
Phone: (502) 208-9385
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1104675875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ailey Blystone — Practice Owner · (270) 234-7624
NPI enumeratedMay 15, 2024
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024
Mailing address102 Kentucky Oaks Trl, Elizabethtown, KY 42701-4483

Other providers in Louisville