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BLYSTONE DENTAL PLLC
NPI 1104675875
Clinic/Center - Dental in Louisville, KY

Active since May 15, 2024
642 BAXTER AVE STE 110, LOUISVILLE, KY 40204(502) 208-9385 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Blystone Dental Pllc NPPES

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

BLYSTONE DENTAL PLLC (NPI 1104675875) is a healthcare organization registered as a dental in Louisville, Kentucky and active in the NPI registry since May 2024. The organization lists Ailey Blystone, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1104675875
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBLYSTONE DENTAL PLLC
Location Address642 BAXTER AVE STE 110Louisville, KY 40204-1795
Mailing Address102 Kentucky Oaks TrlElizabethtown, KY 42701-4483 · (270) 234-7624
Phone(502) 208-9385
Organization SubpartNo
Authorized OfficialAiley BlystonePractice Owner · (270) 234-7624
Enumeration DateMay 15, 2024
NPPES CertifiedMay 15, 2024
✔ NPI 1104675875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
642 BAXTER AVE STE 110, Louisville, KY 40204
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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 Blystone Dental PLLC's NPI number?

The NPI number for Blystone Dental PLLC is 1104675875. It was assigned to this organization in the NPPES registry on May 15, 2024.

Where is Blystone Dental PLLC located?

Blystone Dental PLLC is located at 642 Baxter Ave Ste 110, Louisville, KY 40204. The listed phone number is (502) 208-9385.

What is Blystone Dental PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Blystone Dental PLLC was last updated on May 15, 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.