Louisville Endodontics | |
7980 New Lagrange Road Suite 2 Louisville KY 40222 | |
(502) 412-3636 | |
(502) 412-2827 |
Full Name | Louisville Endodontics |
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Speciality | Dentist - Endodontics |
Location | 7980 New Lagrange Road, Louisville, Kentucky |
Authorized Official Name and Position | Christopher John Cook (OWNER) |
Authorized Official Contact | 5024123636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Louisville Endodontics 7980 New Lagrange Road Suite 2 Louisville KY 40222 Ph: (502) 412-3636 | Louisville Endodontics 7980 New Lagrange Road Suite 2 Louisville KY 40222 Ph: (502) 412-3636 |
NPI Number | 1356613277 |
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Provider Enumeration Date | 02/08/2012 |
Last Update Date | 02/08/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356613277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 7082 (Kentucky) | Primary |
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