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SPECIALIZED DENTAL SERVICES-JEFFERSON MALL, PLLC
NPI 1033397914
Clinic/Center - Dental in Louisville, KY

Active since February 04, 2008
5100 OUTER LOOP, SUITE B, LOUISVILLE, KY 40219(502) 410-1702 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2024, Jun 21, 2017 (2 updates tracked since 2017).

About Specialized Dental Services-jefferson Mall, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECIALIZED DENTAL SERVICES-JEFFERSON MALL, PLLC (NPI 1033397914) is a healthcare organization registered as a dental in Louisville, Kentucky and active in the NPI registry since February 2008. The organization lists Jeffrey Reibel, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1033397914
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSPECIALIZED DENTAL SERVICES-JEFFERSON MALL, PLLC
Location Address5100 OUTER LOOP, SUITE BLouisville, KY 40219-4056
Mailing AddressPo Box 437169Louisville, KY 40253-7169
Phone(502) 410-1702
Organization SubpartNo
Authorized OfficialJeffrey ReibelChief Financial Officer · (502) 254-8526
Enumeration DateFebruary 4, 2008
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1033397914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
Also ListedAnesthesiologyTaxonomy 207L00000X
5100 OUTER LOOP, Louisville, KY 40219
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER MUSSER
Dentist (Oral and Maxillofacial Surgery)
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 966-8660
DR. MANEESH MOHAN DMD
Dentist (Oral and Maxillofacial Surgery)
5100 OUTER LOOP, SUITE B
LOUISVILLE, KY 40219
Jefferson County (502) 966-8660
LISA KING M.D.
Family Medicine
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 968-6226
MRS. CHARLA JAYNETTE FROMAN GLOVER ARNP
Nurse Practitioner (Family)
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 968-6226
MARCELO ENRIQUE VENEGAS A.P.R.N.
Nurse Practitioner (Family)
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 968-6226
MINA BEAR APRN-NP
Nurse Practitioner (Family)
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 968-6226
PERIODONTIC & ENDODONTIC SERVICES-JEFFERSON MALL, PLLC
Clinic/Center (Dental)
5100 OUTER LOOP, STE B
LOUISVILLE, KY 40219
Jefferson County (502) 966-8660
KIDS DENTISTRY-JEFFERSON MALL,PLLC
Clinic/Center (Dental)
5100 OUTER LOOP, SUITE C
LOUISVILLE, KY 40219
Jefferson County (502) 969-9266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Specialized Dental Services-Jefferson Mall, PLLC's NPI number?

The NPI number for Specialized Dental Services-Jefferson Mall, PLLC is 1033397914. It was assigned to this organization in the NPPES registry on February 4, 2008.

Where is Specialized Dental Services-Jefferson Mall, PLLC located?

Specialized Dental Services-Jefferson Mall, PLLC is located at 5100 Outer Loop Suite B, Louisville, KY 40219. The listed phone number is (502) 410-1702.

What is Specialized Dental Services-Jefferson Mall, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Specialized Dental Services-Jefferson Mall, PLLC accept?

Health plans from UnitedHealthcare list Specialized Dental Services-Jefferson Mall, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Specialized Dental Services-Jefferson Mall, PLLC was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.