Abcdentistry
General Practice Dentistry · Louisville, KY
Practice location
5316 S 3rd StLouisville, KY 40214
- Phone
- (502) 643-0560
NPI record
- NPI
- 1477058659
- Entity type
- Organization (Type 2)
- Enumeration date
- March 28, 2018
- Last updated
- August 1, 2018
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
8651 | KY |
| Dental Clinic/Center | 261QD0000X |
8651 | KY |
Mailing address
5316 S 3rd StLouisville, KY 40214-2612
- Phone
- (502) 276-8778
Authorized official
- Name
- Dr. Mitisha Martin, DMD
- Title
- Owner
- Phone
- (502) 276-8778
Other names
- Sparkle and Shine Family Dental
About Abcdentistry
Abcdentistry is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5316 S 3rd St, Louisville, KY 40214. The NPI number 1477058659 was assigned on March 28, 2018 and the record was last updated on August 1, 2018.
Abcdentistry lists 2 licenses in the registry: #8651 (KY) for General Practice Dentistry; #8651 (KY) for Dental Clinic/Center. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Mitisha Martin, DMD, Owner.
Frequently asked questions
What is the NPI number of Abcdentistry?
The NPI number is 1477058659.
What is the phone number of Abcdentistry?
The phone number listed for the practice location is (502) 643-0560.
Where is Abcdentistry located?
5316 S 3rd St, Louisville, KY 40214.
What is the taxonomy code for Abcdentistry?
The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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