is a Periodontics in Louisville, Kentucky. practices all healthcare services and medical treatments related to Periodontics. The NPI Number for is 1811008030. The last update date is .
's current location address is 4122 Shelbyville Rd, Louisville, Kentucky. You can contact this provider via phone number 5028971571 and fax number 5028942270. The mailing address for is 4122 Shelbyville Rd, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 4122 Shelbyville Rd, Louisville, Kentucky |
| Phone Number | 5028971571 |
| Fax Number | 5028942270 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1811008030 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 4122 Shelbyville Rd |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 40207 |
| Phone Number | 5028971571 |
| Fax Number | 5028942270 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 148 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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