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DIXIE DENTAL CENTER
NPI 1679986160
Dentist - General Practice in Louisville, KY

Active since June 03, 2014
1480 DIXIE HWY, LOUISVILLE, KY 40210(502) 778-7414 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dixie Dental Center NPPES

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

DIXIE DENTAL CENTER (NPI 1679986160) is a healthcare organization registered as a general practice in Louisville, Kentucky and active in the NPI registry since June 2014. The organization lists Rod Fultz, Dentist, as its authorized official.

NPPES Registry Identity

NPI1679986160
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDIXIE DENTAL CENTER
Location Address1480 DIXIE HWYLouisville, KY 40210-1768
Mailing Address1480 Dixie HwyLouisville, KY 40210-1768 · (502) 778-7414
Phone(502) 778-7414
Organization SubpartNo
Authorized OfficialRod FultzDentist · (502) 778-7414
Enumeration DateJune 3, 2014
✔ NPI 1679986160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1480 DIXIE HWY, Louisville, KY 40210
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Other Identifiers 1

Medicaid61942355KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. MAHYAR MOFIDI DMD
Dentist
1480 DIXIE HWY
LOUISVILLE, KY 40210
Jefferson County (502) 778-7414
DIXIE DENTAL AND DENTURES LLC
Dentist
1480 DIXIE HWY
LOUISVILLE, KY 40210
Jefferson County (502) 778-7414
DR. DAVID NEAL WAUGH DMD
Dentist
1480 DIXIE HWY
LOUISVILLE, KY 40210
Jefferson County (502) 778-7414
DIXIE DENTAL CENTER PSC
Clinic/Center (Dental)
1480 DIXIE HWY
LOUISVILLE, KY 40210
Jefferson County (502) 778-7414

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 Dixie Dental Center's NPI number?

The NPI number for Dixie Dental Center is 1679986160. It was assigned to this organization in the NPPES registry on June 3, 2014.

Where is Dixie Dental Center located?

Dixie Dental Center is located at 1480 Dixie Hwy, Louisville, KY 40210. The listed phone number is (502) 778-7414.

What is Dixie Dental Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dixie Dental Center was last updated on June 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.