Individual provider · Type 1 NPI

Juan Carlos Villalobos, MDM

Pediatric Dentistry · Louisville, KY

NPI number 1255045225 Active

Practice location

501 S Preston St
Louisville, KY 40202-1701

Call (502) 852-7903 Map

Mailing address

1500 River Shore Dr Apt 402
Louisville, KY 40206-2795

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X10832 (KY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1255045225

Juan Carlos Villalobos, MDM's National Provider Identifier is 1255045225, issued on Jan 13, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Louisville, KY. The record was last updated on Jan 13, 2023.