OrganizationActive
Blystone Dental PLLC
NPI 1104675875 · Dental Clinic/Center · Louisville, KY
Blystone Dental PLLC is a Dental Clinic/Center organization in Louisville, KY (NPI 1104675875).
Provider details
- NPI number
- 1104675875
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ailey Blystone, Practice Owner(270) 234-7624
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
642 Baxter Ave Ste 110
Louisville, KY 40204-1795
Phone: (502) 208-9385
Street-level locationGet directions
Mailing address
102 Kentucky Oaks Trl
Elizabethtown, KY 42701-4483
Registry dates
- Enumerated
- 2024-05-15
- Last updated
- 2024-05-15
- Certified
- 2024-05-15
Frequently asked questions
- What is Blystone Dental PLLC's NPI number?
- Blystone Dental PLLC's National Provider Identifier (NPI) is 1104675875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blystone Dental PLLC?
- Blystone Dental PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Blystone Dental PLLC located?
- Blystone Dental PLLC's practice location on file with NPPES is 642 Baxter Ave Ste 110, Louisville, KY 40204-1795.
- What is Blystone Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Blystone Dental PLLC is (502) 208-9385.
- Who is the authorized official for Blystone Dental PLLC?
- The authorized official listed on Blystone Dental PLLC's NPPES record is Ailey Blystone, Practice Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blystone Dental PLLC's NPI active?
- Yes — Blystone Dental PLLC's NPI (1104675875) is active in the NPPES registry as of the last update on 2024-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.