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FOURTH ST DENTAL CENTER PSC
NPI 1437205556
Clinic/Center - Dental in Louisville, KY

Active since January 25, 2007
1018 SOUTH FOURTH STREET, LOUISVILLE, KY 40203(502) 585-4320 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Fourth St Dental Center Psc NPPES

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

FOURTH ST DENTAL CENTER PSC (NPI 1437205556) is a healthcare organization registered as a dental in Louisville, Kentucky and active in the NPI registry since January 2007. The organization lists Rodney Brent Fultz, Sec Treas, as its authorized official.

NPPES Registry Identity

NPI1437205556
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFOURTH ST DENTAL CENTER PSC
Location Address1018 SOUTH FOURTH STREETLouisville, KY 40203
Mailing Address1018 South Fourth StreetLouisville, KY 40203 · (502) 585-4320
Phone(502) 585-4320
Organization SubpartNo
Authorized OfficialRodney Brent FultzSec Treas · (502) 585-4320
Enumeration DateJanuary 25, 2007
Last NPPES UpdateDecember 18, 2007
✔ NPI 1437205556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1018 SOUTH FOURTH STREET, Louisville, KY 40203
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Other Identifiers 1

Medicaid61943270KY

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 Fourth St Dental Center Psc's NPI number?

The NPI number for Fourth St Dental Center Psc is 1437205556. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Fourth St Dental Center Psc located?

Fourth St Dental Center Psc is located at 1018 South Fourth Street, Louisville, KY 40203. The listed phone number is (502) 585-4320.

What is Fourth St Dental Center Psc'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 Fourth St Dental Center Psc was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.