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PERIODONTIC & ENDODONTIC SERVICES-JEFFERSON MALL, PLLC
NPI 1578853982
Clinic/Center - Dental in Louisville, KY

Active since April 19, 2011
5100 OUTER LOOP, STE B, LOUISVILLE, KY 40219(502) 966-8660 Get Directions Write a Review

NPPES record last updated: April 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Periodontic & Endodontic Services-jefferson Mall, Pllc NPPES

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

PERIODONTIC & ENDODONTIC SERVICES-JEFFERSON MALL, PLLC (NPI 1578853982) is a healthcare organization registered as a dental in Louisville, Kentucky and active in the NPI registry since April 2011. The organization lists Steve James, Cfo, as its authorized official.

NPPES Registry Identity

NPI1578853982
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePERIODONTIC & ENDODONTIC SERVICES-JEFFERSON MALL, PLLC
Location Address5100 OUTER LOOP, STE BLouisville, KY 40219-4056
Mailing AddressPo Box 437169Louisville, KY 40253-7169
Phone(502) 966-8660
Organization SubpartNo
Authorized OfficialSteve JamesCfo · (502) 254-8504
Enumeration DateApril 19, 2011
✔ NPI 1578853982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
5100 OUTER LOOP, Louisville, KY 40219
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Other Providers at the Same Location NPPES 11

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

SPECIALIZED DENTAL SERVICES-JEFFERSON MALL, PLLC
Clinic/Center (Dental)
5100 OUTER LOOP, SUITE B
LOUISVILLE, KY 40219
Jefferson County (502) 410-1702
ALEXANDER MUSSER
Dentist (Oral and Maxillofacial Surgery)
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 966-8660
DR. MANEESH MOHAN DMD
Dentist (Oral and Maxillofacial Surgery)
5100 OUTER LOOP, SUITE B
LOUISVILLE, KY 40219
Jefferson County (502) 966-8660
LISA KING M.D.
Family Medicine
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 968-6226
MRS. CHARLA JAYNETTE FROMAN GLOVER ARNP
Nurse Practitioner (Family)
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 968-6226
MARCELO ENRIQUE VENEGAS A.P.R.N.
Nurse Practitioner (Family)
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 968-6226
MINA BEAR APRN-NP
Nurse Practitioner (Family)
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 968-6226
KIDS DENTISTRY-JEFFERSON MALL,PLLC
Clinic/Center (Dental)
5100 OUTER LOOP, SUITE C
LOUISVILLE, KY 40219
Jefferson County (502) 969-9266

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 Periodontic & Endodontic Services-Jefferson Mall, PLLC's NPI number?

The NPI number for Periodontic & Endodontic Services-Jefferson Mall, PLLC is 1578853982. It was assigned to this organization in the NPPES registry on April 19, 2011.

Where is Periodontic & Endodontic Services-Jefferson Mall, PLLC located?

Periodontic & Endodontic Services-Jefferson Mall, PLLC is located at 5100 Outer Loop Ste B, Louisville, KY 40219. The listed phone number is (502) 966-8660.

What is Periodontic & Endodontic Services-Jefferson Mall, 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 Periodontic & Endodontic Services-Jefferson Mall, PLLC was last updated on April 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.