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NPI Code Detail

MEDICARE: BBB OF KY, LLC

MEDICARE: BBB OF KY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number : 1568957066
Entity Type Code : Organization
Provider Name (Legal Business Name) : BBB OF KY, LLC
Provider Business Mailing Address
First Line : PO BOX 437169
Second Line :
City : LOUISVILLE
State : KY
Zip : 40253-7169
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5225 DIXIE HWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40216-1758
Country : US
Telephone Number : 502-447-8777
Fax Number : 502-448-8240
Authorized Official
Title or Position : CFO
Name : JEFF REIBEL
Credential :
Telephone Number : 502-254-8500
Provider Enumeration Date : 06/27/2018
Last Update Date : 09/06/2023

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Directions to “BBB OF KY, LLC ” Practice Location

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