Organization · Type 2 NPI

Engilman Orthodontics - Jefferson

Dental Clinic/Center · Louisville, KY

NPI number 1184802860 Active

Practice location

4801 Outer Loop A206
Louisville, KY 40219-3201

Call (502) 961-0351 Map

Fax (502) 968-3136

Mailing address

PO Box 437169
Louisville, KY 40253-7169

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1184802860

Engilman Orthodontics - Jefferson's National Provider Identifier is 1184802860, issued on Feb 5, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Louisville, KY. The record was last updated on Jun 16, 2014.