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

Perioimplant Associates, PSC

Organization Periodontics · NPI 1720009061

Perioimplant Associates, PSC is a Periodontics in Louisville, Kentucky. Licensed in Indiana and Kentucky. Registered with an NPI since 2006.

Licensed in
IN, KY
In the registry since
2006
Specialties on file
6
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4010 Dupont Cir Ste 524
Louisville, KY 40207-4812
Phone: (502) 897-9417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 4036 (KY)
Periodontics Taxonomy 1223P0300X · Licence 8228 (IN)
Periodontics Taxonomy 1223P0300X · Licence 5446 (KY)
Periodontics Taxonomy 1223P0300X · Licence 8270 (IN)
Periodontics Taxonomy 1223P0300X · Licence 8517 (KY)
Periodontics Taxonomy 1223P0300X · Licence 12011213A (IN)

Record details

NPI number1720009061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Clark — Office Manager · (502) 897-9417
NPI enumeratedJuly 22, 2006
Last updated in NPPESAugust 4, 2010
Mailing address4010 Dupont Cir, Suite 524, Louisville, KY 40207-4812

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