Individual provider · Type 1 NPI

Anthony Distler, DMD

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1407210289 Active

Practice location

2221 Meadow Dr
Louisville, KY 40218-1330

Call (502) 523-2433 Map

Mailing address

7907 Stonydale Ln
Louisville, KY 40220-5037

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X9803 (KY)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407210289

Anthony Distler, DMD's National Provider Identifier is 1407210289, issued on Apr 7, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Jun 29, 2017.