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

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

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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

What is PORTLAND DENTAL PSC's NPI number?

The NPI number assigned to this healthcare provider is 1528118601, enumerated as an "organization" on January 11, 2007.

Where is the provider located?

The provider is located at 465 NORTH 26TH STREET LOUISVILLE, KY 40212 and the phone number is (502) 778-7678.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

What insurance does PORTLAND DENTAL PSC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.