OrganizationActive
Specialized Dental Services.pllc
NPI 1316059934 · Dental Clinic/Center · Louisville, KY
Provider details
- NPI number
- 1316059934
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeff Reibel, Cfo(502) 254-8500
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
130 Evergreen Rd
Louisville, KY 40243-1489
Phone: (502) 410-1710
Fax: (502) 253-2202
Street-level locationGet directions
Mailing address
Po Box 437169
Louisville, KY 40253-7169
Other names (DBA / former)
- Doing business as
- Kid'S Dentistry
- Doing business as
- Kids Dentistree - Middletown
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2023-09-06
- Certified
- 2023-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.