Dental Services of Kentucky, PSC
NPI 1639562473ActiveOrganization· Dentist· Louisville, KY
Dentist in Louisville, Kentucky, registered in NPPES in March 2015, part of Dental Services of Kentucky, PSC. The authorized official on file is Monica L. Long, Manager Of Provider Credentialing.
Overview
| NPI | 1639562473 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Services of Kentucky, PSC |
| NPI issued | Mar 17, 2015 |
| Last updated in NPPES | May 1, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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