| Fred Look, P.s.c., D.m.d. | |
|
5141 Dixie Hwy Suite 104 Louisville KY 40216-1765 | |
| (502) 448-7988 | |
| (502) 447-9326 |
| Full Name | Fred Look, P.s.c., D.m.d. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5141 Dixie Hwy, Louisville, Kentucky |
| Authorized Official Name and Position | Fred Look (PRESIDENT) |
| Authorized Official Contact | 5024487988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Look, P.s.c., D.m.d. 5141 Dixie Hwy Suite 104 Louisville KY 40216-1765 Ph: (502) 448-7988 | Fred Look, P.s.c., D.m.d. 5141 Dixie Hwy Suite 104 Louisville KY 40216-1765 Ph: (502) 448-7988 |
| NPI Number | 1306835632 |
|---|---|
| Provider Enumeration Date | 10/19/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306835632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3880 (Kentucky) | Primary |
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