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PORTLAND DENTAL CENTER AND BROADWAY DENTAL
NPI 1073833059
Dentist - General Practice in Louisville, KY

Active since June 01, 2010
465 N 26TH ST, LOUISVILLE, KY 40212(502) 778-7767(502) 778-7677 Get Directions Write a Review

NPPES record last updated: June 1, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Portland Dental Center And Broadway Dental NPPES

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

PORTLAND DENTAL CENTER AND BROADWAY DENTAL (NPI 1073833059) is a healthcare organization registered as a general practice in Louisville, Kentucky and active in the NPI registry since June 2010. The organization lists Hugo Pavon, President, as its authorized official.

NPPES Registry Identity

NPI1073833059
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePAVON FAMILY DENTISTRY P.S.C.
Location Address465 N 26TH STLouisville, KY 40212-1449
Mailing Address3600 Glenfield CtLouisville, KY 40241-2513 · (502) 326-0789 · Fax (502) 425-0349
Phone(502) 778-7767
Fax(502) 778-7677
Organization SubpartYes
Authorized OfficialHugo PavonPresident · (502) 326-0789
Enumeration DateJune 1, 2010
✔ NPI 1073833059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 6711
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
465 N 26TH ST, Louisville, KY 40212
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Other Names 1

Doing Business AsPortland Dental Center And Broadway Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

NEIGHBORHOOD SMILE CARE
Dentist
465 N 26TH ST
LOUISVILLE, KY 40212
Jefferson County (502) 778-0999
DR. HUGO PAVON D.M.D.
Dentist (General Practice)
465 N 26TH ST
LOUISVILLE, KY 40212
Jefferson County (502) 778-7678

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 Pavon Family Dentistry P.S.C.'s NPI number?

The NPI number for Pavon Family Dentistry P.S.C. is 1073833059. It was assigned to this organization in the NPPES registry on June 1, 2010. The provider is doing business as Portland Dental Center And Broadway Dental.

Where is Pavon Family Dentistry P.S.C. located?

Pavon Family Dentistry P.S.C. is located at 465 N 26th St, Louisville, KY 40212. The listed phone number is (502) 778-7767.

What is Pavon Family Dentistry P.S.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Pavon Family Dentistry P.S.C. was last updated on June 1, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.