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

Pavon Family Dentistry PSC

Organization General Practice Dentistry · NPI 1073833059

Pavon Family Dentistry PSC is a General Practice Dentistry in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2010.

Licensed in
KY
In the registry since
2010
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

465 N 26th St
Louisville, KY 40212-1449
Phone: (502) 778-7767
Fax: (502) 778-7677
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6711 (KY)

Record details

NPI number1073833059
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPavon Family Dentistry PSC
Authorized official Hugo Pavon — President · (502) 326-0789
Other names Portland Dental Center And Broadway Dental
NPI enumeratedJune 1, 2010
Last updated in NPPESJune 1, 2010
Mailing address3600 Glenfield Ct, Louisville, KY 40241-2513

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