Organization · Type 2 NPI

East Louisville Oral Surgery and Dental Implants PLC

Oral and Maxillofacial Surgery (Dentist) · Louisville, KY

NPI number 1972782407 Active

Practice location

300 Middletown Park Pl Ste A
Louisville, KY 40243-2541

Call (502) 254-3818 Map

Fax (502) 254-3819

Mailing address

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

Other practice locations

  • 1013 N Dupont Sq Ste B, Louisville, KY 40207-4612 · (502) 897-5282
  • 4181 New Shepherdsville Rd, Bardstown, KY 40004-9021 · (502) 305-3649

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.

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About NPI 1972782407

East Louisville Oral Surgery and Dental Implants PLC's National Provider Identifier is 1972782407, issued on Nov 1, 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 Dec 12, 2019.