MY SMILE DENTAL SERVICES, PLLC (NPI# 1144838764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144838764 |
| Entity Type | Organization |
| Organization Name | MY SMILE DENTAL SERVICES, PLLC |
| Practice Address |
5014b Preston Hwy Louisville KY 40213-2217 |
| Practice Telephone | 5029660188 |
| Practice Fax Number | 5029660189 |
| Mailing Telephone | 5029660188 |
| Mailing Fax Number | 5029660189 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | KAYLA MARIE ISING (OFFICE COORDINATOR) |
| Authorized Official Telephone | 8126700403 |
| Is Organization Subpart | Y |
| Parent Organization Name | MY SMILE DENTAL SERVICES, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Services | Doing Business As Name - Organization |
| Street Address |
5014B PRESTON HWY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40213-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487130076 | Latonia Cheeks | Counselor | 4835 Poplar Level Rd Ste. 110, Louisville, KY 40213 | 2018-07-17 |
| 1225553431 | Kandace Ratterman | Case Manager/Care Coordinator | 4814 Kingfisher Way, Louisville, KY 40213 | 2017-08-08 |
| 1700338456 | Ann Devos | Physician Assistant | 3303 Fern Valley Road, Louisville, KY 40213 | 2016-10-28 |
| 1124426275 | Rebecca Sue Jenkins | Home Health Aide | 3523 Whippoorwill Rd, Louisville, KY 40213 | 2014-12-05 |
| 1053518308 | Gabor Ambrus | Pathology | 4500 Conaem Drive, Louisville, KY 40213 | 2007-06-29 |
| 1760504724 | Benjamin Francis Robinson | Chiropractor | 4919h Dixie Highway, Louisville, KY 40213 | 2007-04-03 |
| 1790814408 | Howard L Green | Dentist | 3813 Poplar Level Rd, Louisville, KY 40213 | 2007-03-06 |
| 1063587970 | Roy Hyman | Optometrist | 5202 Preston Hwy, Louisville, KY 40213 | 2006-11-24 |
| 1689769291 | James H Kidwell | Psychologist | 1448 Gardiner Lane, Suite 202 203, Louisville, KY 40213 | 2006-10-03 |
| 1366556524 | Harris & Harris Dmd Psc | Dentist | 5014 Preston Hwy, #b, Louisville, KY 40213 | 2006-08-17 |
| Find all providers in zip 40213 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869878 | Miram Shaheen | Dentist | 600 Marshall St Unit 128, Louisville, KY 40202-3618 | 2020-10-19 |
| 1396351243 | Haaken Reed Magnuson | Dentist | 4600 Taylorsville Rd, Louisville, KY 40220-3530 | 2020-09-16 |
| 1629687181 | Joanna Higdon | Dentist | 4122 Shelbyville Rd Ste 103, Louisville, KY 40207-3206 | 2020-07-30 |
| 1386253847 | Hannah Pope | Dentist | 6801 Dixie Hwy Ste 128, Louisville, KY 40258-3940 | 2020-07-29 |
| 1801404256 | William Jacob Brown | Dentist | 335 W South Boulder Rd Ste 4, Louisville, CO 80027-1192 | 2020-07-21 |
| 1164068722 | Kentucky On-site Dental Services LLC | Dentist | 307 Longview Park Pl, Louisville, KY 40245-6217 | 2019-11-19 |
| 1700448875 | Elizabeth Anne Riordan | Dentist | 701 Sunnyside Dr, Louisville, KY 40206-2922 | 2019-06-28 |
| 1669031381 | Adam Jatin Parikh | Dentist | 2400 Mellwood Ave Apt 927, Louisville, KY 40206-1066 | 2019-06-06 |
| 1689232175 | Paige Higdon Cogan | Dentist | 1009 Alta Vista Rd, Louisville, KY 40205-1727 | 2019-05-30 |
| 1841858578 | Jay Seo | Dentist | 533 E Liberty St Unit 202, Louisville, KY 40202-1198 | 2019-05-29 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40213 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.