ADVANCED DENTAL CENTER, INC.


Address: 1901 Rudy Ln Ste 4, Louisville, KY 40207-1384
Phone: 5029664367

ADVANCED DENTAL CENTER, INC. (NPI# 1922580653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922580653
Entity Type Organization
Organization Name ADVANCED DENTAL CENTER, INC.
Other Organization Name ADVANCED DENTAL CENTER EAST
Practice Address 1901 Rudy Ln Ste 4
Louisville
KY 40207-1384
Practice Telephone 5029664367
Mailing Telephone 5029664367
Enumeration Date 2018-08-29
Last Update Date 2019-06-11
Authorized Official Name DR. RACHEL TALIS (PRESIDENT)
Authorized Official Telephone 5029664367
Authorized Official Credential DMD
Is Organization Subpart Y
Parent Organization Name ADVANCED DENTAL CENTER, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
7118 KY Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 61900353 05

Other Provider/Organization Names

Other Name Type Code
ADVANCED DENTAL CENTER Doing Business As Name - Organization
ADVANCED DENTAL CENTER EAST Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023180536 Advanced Dental Center, Inc. Dentist 8517 Preston Hwy, Louisville, KY 40219-5301 2006-11-14

Office Location

Street Address 1901 RUDY LN STE 4
City LOUISVILLE
State KY
Zip Code 40207-1384

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NPI Name Taxonomy Address Enumeration
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1285095539 Emily Schwartz Crouch Marriage & Family Therapist 4010 Dupont Circle, Suite 582, Louisville, KY 40207 2016-03-15
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235781485 Rylie Mike-mayer Dentist 302 Axis Dr Apt 401, Louisville, KY 40206-0139 2019-07-09
1043701451 Diana H Tran Dentist 501 S Preston St Rm 148, Louisville, KY 40202-1701 2018-05-21
1992295653 Tyler Benton Blount Dentist 8013 New La Grange Rd Ste 6, Louisville, KY 40222-4700 2018-05-17
1407346901 Louisville Dental Associates LLC Dentist 16701 E Main St, Louisville, MS 39339-2751 2018-05-10
1194238816 Dental Services of Kentucky, Psc Dentist 2011 Grinstead Dr Unit 102, Louisville, KY 40204-1296 2017-11-16
1366963373 Caleb William Reece Dentist 2201 Biljana Dr Apt 1, Louisville, KY 40206-2175 2017-06-29
1205366846 Triple Crown Dentistry Dentist 904 Lily Creek Road, Suite 101, Louisville, KY 40243 2017-06-15
1740733559 Jonathan Mitchell, Dmd, Psc Dentist 1716 Gardiner Ln, Louisville, KY 40205-2738 2016-07-27
1215389168 Charles Kendrick Bunch Dentist 1030 Mulberry St, Louisville, KY 40217-1253 2016-07-04
1417304908 James Edward Meffert Sr. Dentist 1618 Story Ave. (home/office Setting), Louisville, KY 40206 2016-05-16
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Competitor

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City LOUISVILLE
Zip Code 40207

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Dataset Information

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.

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