Provider Demographics
NPI:1780345512
Name:ASB DENTAL
Entity type:Organization
Organization Name:ASB DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:BECHT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:502-425-6515
Mailing Address - Street 1:7410 NEW LA GRANGE RD STE 115
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4871
Mailing Address - Country:US
Mailing Address - Phone:502-425-6515
Mailing Address - Fax:502-425-9246
Practice Address - Street 1:7410 NEW LA GRANGE RD STE 115
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4871
Practice Address - Country:US
Practice Address - Phone:502-425-6515
Practice Address - Fax:502-425-9246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental