Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Specialized Dental Services-Jefferson Mall, Pllc

Dental Clinic/Center in Louisville, KY · enumerated 2008 · authorized official Jeffrey Reibel, Chief Financial Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033397914

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Registry record

Entity type Organization (Type 2)

Legal business name Specialized Dental Services-Jefferson Mall, Pllc

Practice address 5100 Outer Loop, Suite B, Louisville, KY, 40219

Phone (502) 410-1702

Enumeration date Feb 4, 2008

Last updated in NPPES Aug 2, 2024

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Secondary

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians Secondary

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jeffrey Reibel

Title Chief Financial Officer

Phone (502) 254-8526

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Specialized Dental Services-Jefferson Mall, Pllc located?

The practice location on file with NPPES is in Louisville, KY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-08-02. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-02.