| Louisville Oral Surgery & Dental Implants | |
|
6501 Dixie Hwy Louisville KY 40258-3907 | |
| (502) 937-2500 | |
| Not Available |
| Full Name | Louisville Oral Surgery & Dental Implants |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6501 Dixie Hwy, Louisville, Kentucky |
| Authorized Official Name and Position | Joseph Harold Cieslak (OWNER) |
| Authorized Official Contact | 5029392500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisville Oral Surgery & Dental Implants 6501 Dixie Hwy Louisville KY 40258-3907 Ph: (502) 937-2500 | Louisville Oral Surgery & Dental Implants 6501 Dixie Hwy Louisville KY 40258-3907 Ph: (502) 937-2500 |
| NPI Number | 1245481175 |
|---|---|
| Provider Enumeration Date | 10/09/2008 |
| Last Update Date | 10/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245481175 | NPI | - | NPPES |
| 74070386 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 585 (Kentucky) | Primary |
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