BLINCOE & SHUTT PSC
NPI 1306220140
Dentist in Louisville, KY

Q: What is Blincoe & Shutt Psc's NPI number?

The NPI number for Blincoe & Shutt Psc is 1306220140. It was assigned to this organization in the NPPES registry on July 10, 2015.

Q: What is Blincoe & Shutt Psc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since July 10, 2015

4122 SHELBYVILLE RD STE 115, LOUISVILLE, KY 40207(502) 895-2210(502) 895-0425 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2025, Dec 22, 2016 (2 updates tracked since 2016).

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About Blincoe & Shutt Psc NPPES

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

BLINCOE & SHUTT PSC (NPI 1306220140) is a healthcare organization registered as a dentist in Louisville, Kentucky and active in the NPI registry since July 2015. The organization lists Glenn R. Blincoe, President, as its authorized official.

NPPES Registry Identity

NPI1306220140

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameBLINCOE & SHUTT PSC

Location Address4122 SHELBYVILLE RD STE 115Louisville, KY 40207-3206

Mailing Address4122 Shelbyville Rd Ste 115Louisville, KY 40207-3206 · (502) 895-2210

Phone(502) 895-2210

Fax(502) 895-0425

Organization SubpartNo

Authorized OfficialGlenn R. BlincoePresident · (502) 895-2210

Enumeration DateJuly 10, 2015

Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2025

✔ NPI 1306220140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X

4122 SHELBYVILLE RD STE 115, Louisville, KY 40207

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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 Blincoe & Shutt Psc's NPI number?

The NPI number for Blincoe & Shutt Psc is 1306220140. It was assigned to this organization in the NPPES registry on July 10, 2015.

Where is Blincoe & Shutt Psc located?

Blincoe & Shutt Psc is located at 4122 Shelbyville Rd Ste 115, Louisville, KY 40207. The listed phone number is (502) 895-2210.

What is Blincoe & Shutt Psc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Blincoe & Shutt Psc was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.