DIXIE DENTAL CENTER PSC
NPI 1962552042
Clinic/Center - Dental in Louisville, KY
About Dixie Dental Center Psc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIXIE DENTAL CENTER PSC (NPI 1962552042) 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
Specialties & Licenses
Other Identifiers 1
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.
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 Psc's NPI number?
The NPI number for Dixie Dental Center Psc is 1962552042. It was assigned to this organization in the NPPES registry on January 11, 2007.
Where is Dixie Dental Center Psc located?
Dixie Dental Center Psc is located at 1480 Dixie Hwy, Louisville, KY 40210. The listed phone number is (502) 778-7414.
What is Dixie Dental Center Psc'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 Dixie Dental Center Psc was last updated on December 18, 2007. 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.
# Dixie Dental Center Psc · NPI 1962552042
Dental organization in Louisville, Kentucky. Organization record, active in the CMS NPPES registry since January 11, 2007.
## Identity
- **NPI:** 1962552042 (Entity type: Organization)
- **Enumerated:** January 11, 2007
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Rodney Fultz, SEC TREAS
## Practice location
- **Address:** 1480 DIXIE HWY, Louisville, KY 40210
- **Phone:** (502) 778-7414
## Record status
- **NPPES last updated:** December 18, 2007
- **Other identifiers:** Medicaid 61942355 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1962552042) · Data from the CMS NPPES public registry.