OrganizationActive
Portland Dental Psc
NPI 1528118601 · Dental Clinic/Center · Louisville, KY
Provider details
- NPI number
- 1528118601
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rodney Fultz, Sec Treas(502) 778-7678
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
465 North 26th Street
Louisville, KY 40212
Phone: (502) 778-7678
Street-level locationGet directions
Mailing address
465 North 26th Street
Louisville, KY 40212
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2007-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.