Specialized Dental Services-Jefferson Mall, Pllc in Louisville - Oral And Maxillofacial Surgery
Specialized Dental Services-Jefferson Mall, Pllc - NPI 1033397914
Specialized Dental Services-Jefferson Mall, Pllc is a Oral And Maxillofacial Surgery in Louisville, Kentucky. Specialized Dental Services-Jefferson Mall, Pllc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Specialized Dental Services-Jefferson Mall, Pllc is 1033397914. The last update date is 2017-06-21.
Specialized Dental Services-Jefferson Mall, Pllc's current location address is 5100 Outer Loop, Louisville, Kentucky. You can contact this provider via phone number 5024101702. The mailing address for Specialized Dental Services-Jefferson Mall, Pllc is 5100 Outer Loop, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Specialized Dental Services-Jefferson Mall, Pllc |
|---|---|
| Address | 5100 Outer Loop, Louisville, Kentucky |
| Phone Number | 5024101702 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | James Steve |
| Telephone Number | 5022548504 |
NPI Number Detail
| NPI Number | 1033397914 |
|---|---|
| Provider Enumeration Date | 2008-02-04 |
| Last Updated Date | 2017-06-21 |
Provider Mailing Address Detail
| Address | 5100 Outer Loop |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402194056 |
| Phone Number | 5024101702 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
|
Definition: 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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Post Comment/ Review Below
What is the Specialized Dental Services-Jefferson Mall, Pllc's unique identification number?
The Specialized Dental Services-Jefferson Mall, Pllc has been assigned the NPI (National Provider Identifier) Number 1033397914 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Specialized Dental Services-Jefferson Mall, Pllc's facilities are geographically located?
The facilities of Specialized Dental Services-Jefferson Mall, Pllc are physically situated at the following location: 5100 Outer Loop, Louisville, KY, 402194056.
What is Specialized Dental Services-Jefferson Mall, Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Specialized Dental Services-Jefferson Mall, Pllc's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033397914 to Specialized Dental Services-Jefferson Mall, Pllc?
The Centers for Medicare & Medicaid Services assigned the 1033397914 to Specialized Dental Services-Jefferson Mall, Pllc on 2008-02-04.
As of what date were the details related to Specialized Dental Services-Jefferson Mall, Pllc most recently updated or revised?
The information pertaining to Specialized Dental Services-Jefferson Mall, Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2017-06-21.
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