Victor Sebastian Degeorge in Louisville - Orthodontics And Dentofacial Orthopedics

Victor Sebastian Degeorge - NPI 1801936620

Victor Sebastian Degeorge is a Orthodontics And Dentofacial Orthopedics in Louisville, Kentucky. Victor Sebastian Degeorge practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Victor Sebastian Degeorge is 1801936620. The last update date is 2011-12-08.

Victor Sebastian Degeorge's current location address is 8013 New Lagrange Rd., Louisville, Kentucky. You can contact this provider via phone number 5024264868 and fax number 5024264869. The mailing address for Victor Sebastian Degeorge is 8013 New Lagrange Rd., Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Victor Sebastian Degeorge
Address 8013 New Lagrange Rd., Louisville, Kentucky
Phone Number 5024264868
Fax Number 5024264869
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1801936620
Provider Enumeration Date 2007-02-08
Last Updated Date 2011-12-08

Provider Mailing Address Detail

Address 8013 New Lagrange Rd.
City Louisville
State Kentucky (KY)
Post Code 402224077
Phone Number 5024264868
Fax Number 5024264869

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 147
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60035508 KY --

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FAQs about Victor Sebastian Degeorge

What is the Victor Sebastian Degeorge's unique identification number?

The Victor Sebastian Degeorge has been assigned the NPI (National Provider Identifier) Number 1801936620 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Victor Sebastian Degeorge's facilities are situated?

The facilities of Victor Sebastian Degeorge are physically located at the following address: 8013 New Lagrange Rd., Louisville, KY, 402224077.

What is Victor Sebastian Degeorge's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Victor Sebastian Degeorge is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy classification code for this specialized field is 1223X0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1801936620 to Victor Sebastian Degeorge?

The Victor Sebastian Degeorge received its 1801936620 assignment from the Centers for Medicare & Medicaid Services on 2007-02-08.

As of what date were the details related to Victor Sebastian Degeorge most recently updated or revised?

The information pertaining to Victor Sebastian Degeorge, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-08.

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