FOURTH STREET DENTAL
NPI 1942475934
Dentist in Louisville, KY

Q: What is Hayward Dental Group, P.S.C.'s NPI number?

The NPI number for Hayward Dental Group, P.S.C. is 1942475934. It was assigned to this organization in the NPPES registry on April 29, 2008. The provider is doing business as Fourth Street Dental.

Q: What is Hayward Dental Group, P.S.C.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since April 29, 2008

1018 S 4TH ST, SUITE 250, LOUISVILLE, KY 40203(502) 585-4320(502) 585-4355 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Fourth Street Dental NPPES

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

FOURTH STREET DENTAL (NPI 1942475934) is a healthcare organization registered as a dentist in Louisville, Kentucky and active in the NPI registry since April 2008. The organization lists Theresa C. Hayward, President, as its authorized official.

NPPES Registry Identity

NPI1942475934

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameHAYWARD DENTAL GROUP, P.S.C.

Location Address1018 S 4TH ST, SUITE 250Louisville, KY 40203-3221

Mailing Address1018 S 4th St, Suite 250Louisville, KY 40203-3221 · (502) 585-4320 · Fax (502) 585-4355

Phone(502) 585-4320

Fax(502) 585-4355

Organization SubpartNo

Authorized OfficialTheresa C. HaywardPresident · (502) 585-4320

Enumeration DateApril 29, 2008

✔ NPI 1942475934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in KY · 8389

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1018 S 4TH ST, Louisville, KY 40203

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Other Names 1

Doing Business AsFourth Street Dental

Other Identifiers 1

Medicaid7100011840KY

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

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

DR. ELLEN ANN HARPSTER D.M.D.

Dentist (General Practice)

1018 S 4TH ST, SUITE 250
LOUISVILLE, KY 40203

Jefferson County (502) 585-4320

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 Hayward Dental Group, P.S.C.'s NPI number?

The NPI number for Hayward Dental Group, P.S.C. is 1942475934. It was assigned to this organization in the NPPES registry on April 29, 2008. The provider is doing business as Fourth Street Dental.

Where is Hayward Dental Group, P.S.C. located?

Hayward Dental Group, P.S.C. is located at 1018 S 4th St Suite 250, Louisville, KY 40203. The listed phone number is (502) 585-4320.

What is Hayward Dental Group, P.S.C.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Hayward Dental Group, P.S.C. was last updated on April 29, 2008. 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.