Specialized Dental Services-Jefferson Mall, PLLC
NPI 1033397914 · Dental Clinic/Center · Louisville, KY
Specialized Dental Services-Jefferson Mall, PLLC is a Dental Clinic/Center organization in Louisville, KY (NPI 1033397914).
Provider details
- NPI number
- 1033397914
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Reibel, Chief Financial Officer(502) 254-8526
Specialties & taxonomies
Ambulatory Health Care Facilities
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-04
- Last updated
- 2024-08-02
- Certified
- 2024-08-02
Frequently asked questions
- What is Specialized Dental Services-Jefferson Mall, PLLC's NPI number?
- Specialized Dental Services-Jefferson Mall, PLLC's National Provider Identifier (NPI) is 1033397914, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Specialized Dental Services-Jefferson Mall, PLLC?
- Specialized Dental Services-Jefferson Mall, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Specialized Dental Services-Jefferson Mall, PLLC located?
- Specialized Dental Services-Jefferson Mall, PLLC's practice location on file with NPPES is 5100 Outer Loop, Louisville, KY 40219-4056.
- What is Specialized Dental Services-Jefferson Mall, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Specialized Dental Services-Jefferson Mall, PLLC is (502) 410-1702.
- Who is the authorized official for Specialized Dental Services-Jefferson Mall, PLLC?
- The authorized official listed on Specialized Dental Services-Jefferson Mall, PLLC's NPPES record is Jeffrey Reibel, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Specialized Dental Services-Jefferson Mall, PLLC's NPI active?
- Yes — Specialized Dental Services-Jefferson Mall, PLLC's NPI (1033397914) is active in the NPPES registry as of the last update on 2024-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.