Organization · Type 2 NPI
Periodontal Care & Implant Center
Periodontics · Louisville, KY
NPI number
1114944816
Active
Practice location
3409 Stony Spring Cir
Louisville, KY 40220-5433
Fax (502) 499-9980
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 6418 (KY) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Louisville
About NPI 1114944816
Periodontal Care & Implant Center's National Provider Identifier is 1114944816, issued on Jul 17, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Louisville, KY. The record was last updated on Aug 22, 2020.