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IMMEDIADENT
NPI 1194238816
Dentist - General Practice in Louisville, KY

Active since November 16, 2017
2011 GRINSTEAD DR UNIT 102, LOUISVILLE, KY 40204(502) 638-2377(913) 752-9116 Get Directions Write a Review

NPPES record last updated: November 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Immediadent NPPES

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

IMMEDIADENT (NPI 1194238816) is a healthcare organization registered as a general practice in Louisville, Kentucky and active in the NPI registry since November 2017. The organization lists Monica L Long, Manager Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1194238816
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL SERVICES OF KENTUCKY, PSC
Location Address2011 GRINSTEAD DR UNIT 102Louisville, KY 40204-1296
Mailing AddressPo Box 11568Overland Park, KS 66207-4268 · (913) 428-1686 · Fax (913) 752-9116
Phone(502) 638-2377
Fax(913) 752-9116
Organization SubpartYes
Authorized OfficialMonica L LongManager Of Credentialing · (913) 428-1686
Enumeration DateNovember 16, 2017
✔ NPI 1194238816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2011 GRINSTEAD DR UNIT 102, Louisville, KY 40204
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Other Names 1

Doing Business AsImmediadent

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

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 Dental Services Of Kentucky, Psc's NPI number?

The NPI number for Dental Services Of Kentucky, Psc is 1194238816. It was assigned to this organization in the NPPES registry on November 16, 2017. The provider is doing business as Immediadent.

Where is Dental Services Of Kentucky, Psc located?

Dental Services Of Kentucky, Psc is located at 2011 Grinstead Dr Unit 102, Louisville, KY 40204. The listed phone number is (502) 638-2377.

What is Dental Services Of Kentucky, Psc'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 Dental Services Of Kentucky, Psc was last updated on November 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.