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PORTLAND DENTAL PSC
NPI 1528118601
Clinic/Center - Dental in Louisville, KY

Active since January 11, 2007
465 NORTH 26TH STREET, LOUISVILLE, KY 40212(502) 778-7678 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Portland Dental Psc NPPES

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

PORTLAND DENTAL PSC (NPI 1528118601) 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

NPI1528118601
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePORTLAND DENTAL PSC
Location Address465 NORTH 26TH STREETLouisville, KY 40212
Mailing Address465 North 26th StreetLouisville, KY 40212 · (502) 778-7678
Phone(502) 778-7678
Organization SubpartNo
Authorized OfficialRodney Brent FultzSec Treas · (502) 778-7678
Enumeration DateJanuary 11, 2007
Last NPPES UpdateDecember 18, 2007
✔ NPI 1528118601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
465 NORTH 26TH STREET, Louisville, KY 40212
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Other Identifiers 1

Medicaid61942447KY

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 Portland Dental Psc's NPI number?

The NPI number for Portland Dental Psc is 1528118601. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Portland Dental Psc located?

Portland Dental Psc is located at 465 North 26th Street, Louisville, KY 40212. The listed phone number is (502) 778-7678.

What is Portland Dental 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 Portland Dental 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.