Organization · Type 2 NPI

East Louisville Oral Surgery and Dental Implants PLC

Oral and Maxillofacial Surgery (Dentist) · Louisville, KY

NPI number 1275292377 Active

Practice location

1013 N Dupont Sq Ste B
Louisville, KY 40207-4612

Fax (502) 896-6714

Other practice locations

  • 4181 New Shepherdsville Rd, Bardstown, KY 40004-9021 · (502) 305-3649
  • 300 Middletown Park Pl Ste A, Louisville, KY 40243-2541 · (502) 254-3818

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XNone 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.

2 other providers at this address

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About NPI 1275292377

East Louisville Oral Surgery and Dental Implants PLC's National Provider Identifier is 1275292377, issued on Dec 16, 2021. 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 Aug 14, 2023.