| Myron F Shuster, Dmd | |
|
3101 Breckenridge Ln Suite 4b Louisville KY 40220-2742 | |
| (502) 451-1020 | |
| (502) 451-9339 |
| Full Name | Myron F Shuster, Dmd |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3101 Breckenridge Ln, Louisville, Kentucky |
| Authorized Official Name and Position | Myron F Shuster (OWNER) |
| Authorized Official Contact | 5024511020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myron F Shuster, Dmd 3101 Breckenridge Ln Suite 4b Louisville KY 40220-2742 Ph: (502) 451-1020 | Myron F Shuster, Dmd 3101 Breckenridge Ln Suite 4b Louisville KY 40220-2742 Ph: (502) 451-1020 |
| NPI Number | 1134288434 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134288434 | NPI | - | NPPES |
| 4503 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4639 (Kentucky) | Primary |
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