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Dixie Dental Center Psc — NPI 1962552042, Louisville, KY | NPI Central

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OrganizationActive

Dixie Dental Center Psc

NPI 1962552042 · Dental Clinic/Center · Louisville, KY

Provider details

NPI number: 1962552042
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Rodney Fultz, Sec Treas(502) 778-7414

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

1480 Dixie Hwy

Louisville, KY 40210

Phone: (502) 778-7414

Approximate (ZIP-level) locationGet directions

More KY providers

Mailing address

1480 Dixie Hwy

Louisville, KY 40210

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.