Organization · Type 2 NPI

Thad R. Schulten PSC

Oral and Maxillofacial Surgery (Dentist) · Louisville, KY

NPI number 1235329400 Active

Practice location

4515 Churchman Ave.
Louisville, KY 40215

Call (502) 361-0134 Map

Fax (502) 361-0137

Other practice locations

6225 W Highway 146, Crestwood, KY 40014-7595 · (502) 241-0714

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	None listed

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.

Other oral and maxillofacial surgery (dentist) providers in Louisville

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NPI record

NPI: 1235329400
Entity type: Organization (Type 2)
Issued: Jul 25, 2007
Last updated: Sep 11, 2024
Status: Active
Subpart: Yes of Kentucky Center for Oral & Maxillofacial Surgery

Other names

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Kentucky Center for Oral & Maxillofacial Surgery · doing business as
Kentucky Center for Oral & Maxillofacial Surgery PSC · other name

Authorized official

Penny Boone
Office Manager
(502) 361-0134

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235329400

Thad R. Schulten PSC's National Provider Identifier is 1235329400, issued on Jul 25, 2007. 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 Sep 11, 2024.