Pavon Family Dentistry PSC
Pavon Family Dentistry PSC provides General Practice Dentistry in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2010.
- Licensed in
- KY
- In the registry since
- 2010
What do these letters mean?
- PSC — Professional service corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
465 N 26th StLouisville, KY 40212-1449 Not confirmed with CMS for 16 years — call before visiting
Phone: (502) 778-7767
Fax: (502) 778-7677
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 6711 (KY) |
|---|
Record details
| NPI number | 1073833059 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Pavon Family Dentistry PSC |
| Authorized official | Hugo Pavon — President · (502) 326-0789 |
| Other names | Portland Dental Center And Broadway Dental |
| NPI enumerated | June 1, 2010 |
| Last updated in NPPES | June 1, 2010 |
| Mailing address | 3600 Glenfield Ct, Louisville, KY 40241-2513 |
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