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

Kids Dentistry-Jefferson Mall, PLLC

Organization Dental Clinic/Center · NPI 1639357502

Kids Dentistry-Jefferson Mall, PLLC is a Dental Clinic/Center in Louisville, Kentucky. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5100 Outer Loop Ste C
Louisville, KY 40219-4056
Phone: (502) 969-9266
Fax: (502) 254-6054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1639357502
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steve James — Coo · (502) 254-8504
NPI enumeratedFebruary 4, 2008
Last updated in NPPESJanuary 19, 2011
Mailing addressPo Box 437169, Louisville, KY 40253-7169

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