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KIDS DENTISTREE - MIDDLETOWN
NPI 1316059934
Clinic/Center - Dental in Louisville, KY

Active since August 31, 2006
130 EVERGREEN RD, LOUISVILLE, KY 40243(502) 410-1710(502) 253-2202 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kids Dentistree - Middletown NPPES

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

KIDS DENTISTREE - MIDDLETOWN (NPI 1316059934) is a healthcare organization registered as a dental in Louisville, Kentucky and active in the NPI registry since August 2006. The organization lists Jeff Reibel, Cfo, as its authorized official.

NPPES Registry Identity

NPI1316059934
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSPECIALIZED DENTAL SERVICES.PLLC
Location Address130 EVERGREEN RDLouisville, KY 40243-1489
Mailing AddressPo Box 437169Louisville, KY 40253-7169 · (502) 245-7103 · Fax (502) 253-2202
Phone(502) 410-1710
Fax(502) 253-2202
Organization SubpartNo
Authorized OfficialJeff ReibelCfo · (502) 254-8500
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 6, 2023
NPPES CertifiedSeptember 6, 2023
✔ NPI 1316059934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
130 EVERGREEN RD, Louisville, KY 40243
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Other Names 2

Doing Business AsKids Dentistree - Middletown
Doing Business AsKid's Dentistry

Other Providers at the Same Location NPPES 4

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

DR. KIMBERLY S HANSFORD DMD
Dentist (Pediatric Dentistry)
130 EVERGREEN RD, SUITE 100
MIDDLETOWN, KY 40243
Jefferson County (502) 410-1710
DEBORAH HOLLADAY COUNSELING, M.S., LPCC PSC
Community/Behavioral Health
130 EVERGREEN RD, SUITE 202
LOUISVILLE, KY 40243
Jefferson County (502) 599-3593
DEBORAH LEE HOLLADAY MS ED
Counselor
130 EVERGREEN RD, SUITE 202
LOUISVILLE, KY 40243
Jefferson County (502) 599-3593
KELLY ANN UNDERWOOD DMD
Dentist (General Practice)
130 EVERGREEN RD, SUITE 100
LOUISVILLE, KY 40243
Jefferson County (502) 410-1710

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.Pllc's NPI number?

The NPI number for Specialized Dental Services.Pllc is 1316059934. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Kids Dentistree - Middletown and Kid's Dentistry.

Where is Specialized Dental Services.Pllc located?

Specialized Dental Services.Pllc is located at 130 Evergreen Rd, Louisville, KY 40243. The listed phone number is (502) 410-1710.

What is Specialized Dental Services.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 Specialized Dental Services.Pllc was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.