Provider Demographics
NPI:1104051689
Name:KING-TINSLEY, ASHLEY (DMD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:KING-TINSLEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:NICOLE
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:13508 PLEASANT GLEN CT.
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299
Mailing Address - Country:US
Mailing Address - Phone:502-338-3834
Mailing Address - Fax:
Practice Address - Street 1:120 HELMWOOD PLAZA DR STE 135
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-3458
Practice Address - Country:US
Practice Address - Phone:502-852-2445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY8770122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist