Organization · Type 2 NPI

S.e. Louisville Oral Surgery, P.c.

Oral and Maxillofacial Surgery (Dentist) · Louisville, KY

NPI number 1376298695 Active

Practice location

3841 Ruckriegel Pkwy Ste 104
Louisville, KY 40299-3986

Call (502) 969-2523 Map

Mailing address

8516 Preston Hwy
Louisville, KY 40219-5302

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.

3 other providers at this address

Other oral and maxillofacial surgery (dentist) providers in Louisville

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NPI record

NPI: 1376298695
Entity type: Organization (Type 2)
Issued: Feb 15, 2022
Last updated: Jun 5, 2025
Status: Active

Other names

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South Louisville Oral Surgery · other name
South Louisville Oral Surgery · other name

Authorized official

Dr. Jonathan Swope, MD, DMD
Owner
(402) 968-9645

Verify this record

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 1376298695

S.e. Louisville Oral Surgery, P.c.'s National Provider Identifier is 1376298695, issued on Feb 15, 2022. 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 5, 2025.