| Louisville Center For Face, Jaw, And Mouth Surgery | |
|
8516 Preston Hwy Louisville KY 40219-5302 | |
| (502) 969-2523 | |
| Not Available |
| Full Name | Louisville Center For Face, Jaw, And Mouth Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8516 Preston Hwy, Louisville, Kentucky |
| Authorized Official Name and Position | Joseph John Mascaro (ORESIDENT) |
| Authorized Official Contact | 5024296506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisville Center For Face, Jaw, And Mouth Surgery 2015 Herr Ln Suite E Louisville KY 40222-6567 Ph: (502) 429-6506 | Louisville Center For Face, Jaw, And Mouth Surgery 8516 Preston Hwy Louisville KY 40219-5302 Ph: (502) 969-2523 |
| NPI Number | 1487737672 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487737672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4617 (Kentucky) | Primary |
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