Individual provider · Type 1 NPI

Maneesh Mohan, DMD

Oral and Maxillofacial Surgery (Dentist) · Louisville, KY

NPI number 1154310985 Active

Practice location

5100 Outer Loop, Suite B
Louisville, KY 40219-3201

Call (502) 966-8660 Map

Fax (502) 969-8444

Mailing address

2441 State St
New Albany, IN 47150-4962

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X8191 (KY)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X12011030A (IN)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X8181 (KY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1154310985

Maneesh Mohan, DMD's National Provider Identifier is 1154310985, issued on Oct 14, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Louisville, KY. The record was last updated on Jun 12, 2014.