East Louisville Dental Group

NPI 1326137217 - Dentist - 1223G0001X

NPI Details
NPI 1326137217
Enumeration Date 10/11/2006
Last Updated 09/17/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name F. RICHARD F.
Position PRESIDENT
Phone (502) 245-5418
Fax (502) 245-5429
Practice Location
205 MOSER RD
LOUISVILLE KY, 40223-3113, US
Phone (502) 245-5418
Fax (502) 245-5429
Business Location
PO BOX 43300
LOUISVILLE KY, 40253-0300, US
Phone (502) 245-5418
Fax (502) 245-5429
Toxanomy
Taxonomy Code 1223G0001X
License State Kentucky
License Number 4843
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According to our database, East Louisville Dental Group NPI is 1326137217, taxonomy code is 1223G0001X and license number is 4843, license state is located at Kentucky. East Louisville Dental Group physically located at 205 Moser Rd, Louisville KY, 40223-3113. NPI Number 1033115704 has the healthcare provider type.

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1326137217 NPI number is provided on an as is basis without warranty of any kind. 1326137217 is maintained by the National Plan & Provider Enumeration System. The contents of East Louisville Dental Group are for informational purposes only.