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KIDS DENTISTRY-JEFFERSON MALL,PLLC
NPI 1639357502
Clinic/Center - Dental in Louisville, KY

Active since February 04, 2008
5100 OUTER LOOP, SUITE C, LOUISVILLE, KY 40219(502) 969-9266(502) 254-6054 Get Directions Write a Review

NPPES record last updated: January 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kids Dentistry-jefferson Mall,pllc NPPES

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

KIDS DENTISTRY-JEFFERSON MALL,PLLC (NPI 1639357502) is a healthcare organization registered as a dental in Louisville, Kentucky and active in the NPI registry since February 2008. The organization lists Steve James, Coo, as its authorized official.

NPPES Registry Identity

NPI1639357502
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKIDS DENTISTRY-JEFFERSON MALL,PLLC
Location Address5100 OUTER LOOP, SUITE CLouisville, KY 40219-4056
Mailing AddressPo Box 437169Louisville, KY 40253-7169
Phone(502) 969-9266
Fax(502) 254-6054
Organization SubpartNo
Authorized OfficialSteve JamesCoo · (502) 254-8504
Enumeration DateFebruary 4, 2008
Last NPPES UpdateJanuary 19, 2011
✔ NPI 1639357502 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
PERIODONTIC & ENDODONTIC SERVICES-JEFFERSON MALL, PLLC
Clinic/Center (Dental)
5100 OUTER LOOP, STE B
LOUISVILLE, KY 40219
Jefferson County (502) 966-8660

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 Kids Dentistry-Jefferson Mall,pllc's NPI number?

The NPI number for Kids Dentistry-Jefferson Mall,pllc is 1639357502. It was assigned to this organization in the NPPES registry on February 4, 2008.

Where is Kids Dentistry-Jefferson Mall,pllc located?

Kids Dentistry-Jefferson Mall,pllc is located at 5100 Outer Loop Suite C, Louisville, KY 40219. The listed phone number is (502) 969-9266.

What is Kids Dentistry-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 Kids Dentistry-Jefferson Mall,pllc was last updated on January 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.