OrganizationActive
Blystone Dental PLLC
NPI 1104675875 · Dental Clinic/Center · Louisville, KY
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
Practice location
642 Baxter Ave Ste 110
Louisville, KY 40204-1795
Phone: (502) 208-9385
Approximate (ZIP-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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.