OrganizationActive
360care LLC
NPI 1417592536 · Dentist · Louisville, KY
Provider details
- NPI number
- 1417592536
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Authorized official
- Randy Ammon, Manager
Practice location
12910 Shelbyville Rd Ste 300
Louisville, KY 40243-2404
Phone: (502) 244-2441
Fax: (502) 996-8282
Mailing address
12910 Shelbyville Rd Ste 128
Louisville, KY 40243-1536
Registry dates
- Enumerated
- 2019-11-12
- Last updated
- 2020-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.