East Louisville Oral Surgery And Dental Implants Plc in Louisville - Oral & Maxillofacial Surgery
East Louisville Oral Surgery And Dental Implants Plc - NPI 1972782407
East Louisville Oral Surgery And Dental Implants Plc is a Oral & Maxillofacial Surgery in Louisville, Kentucky. East Louisville Oral Surgery And Dental Implants Plc practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for East Louisville Oral Surgery And Dental Implants Plc is 1972782407. The last update date is 2019-12-12.
East Louisville Oral Surgery And Dental Implants Plc's current location address is 1013 N Dupont Sq Ste B, Louisville, Kentucky. You can contact this provider via phone number 5028975282 and fax number 5028966714. The mailing address for East Louisville Oral Surgery And Dental Implants Plc is 1013 N Dupont Sq Ste B, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Louisville Oral Surgery And Dental Implants Plc |
|---|---|
| Address | 1013 N Dupont Sq Ste B, Louisville, Kentucky |
| Phone Number | 5028975282 |
| Fax Number | 5028966714 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ORAL SURGE |
|---|---|
| Authorized Official Name | Livesay Wayne Kenneth |
| Credentials | D.M.D |
| Telephone Number | 5022543818 |
NPI Number Detail
| NPI Number | 1972782407 |
|---|---|
| Provider Enumeration Date | 2007-11-01 |
| Last Updated Date | 2019-12-12 |
Provider Mailing Address Detail
| Address | 1013 N Dupont Sq Ste B |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402074612 |
| Phone Number | 5028975282 |
| Fax Number | 5028966714 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100122880 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to East Louisville Oral Surgery And Dental Implants Plc by the Centers for Medicare & Medicaid Services (CMS)?
The East Louisville Oral Surgery And Dental Implants Plc has been assigned the NPI (National Provider Identifier) 1972782407. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where East Louisville Oral Surgery And Dental Implants Plc is located?
The East Louisville Oral Surgery And Dental Implants Plc is situated at the following address: 1013 N Dupont Sq Ste B, Louisville, KY, 402074612.
What is East Louisville Oral Surgery And Dental Implants Plc's area of expertise and its corresponding taxonomy classification?
The East Louisville Oral Surgery And Dental Implants Plc's field of specialization is Oral & Maxillofacial Surgery, and it falls under the taxonomy code 204E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did East Louisville Oral Surgery And Dental Implants Plc receive its 1972782407 assignment from the Centers for Medicare & Medicaid Services?
The East Louisville Oral Surgery And Dental Implants Plc was assigned its 1972782407 on 2007-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to East Louisville Oral Surgery And Dental Implants Plc most recently updated or revised?
The details related to East Louisville Oral Surgery And Dental Implants Plc, including its address, specialty, and other relevant information, were last updated or revised on 2019-12-12.