Modern Kids Dentistry of Louisville, PLLC
Modern Kids Dentistry of Louisville, PLLC is a Pediatric Dentistry 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.
Practice location Address checks out
129 Evergreen RdLouisville, KY 40243-2426
Phone: (502) 245-8855
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X |
|---|
Record details
| NPI number | 1104646983 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Justin Raybould — Owner · (859) 321-7051 |
| NPI enumerated | October 15, 2024 |
| Last updated in NPPES | October 15, 2024 |
| Certification date | October 15, 2024 |
| Mailing address | 129 Evergreen Rd, Louisville, KY 40243-2426 |
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