| Oxmoor Dental Care | |
|
105 Lyndon Ln Ste 104 Louisville KY 40222-5550 | |
| (502) 412-2475 | |
| (502) 326-7900 |
| Full Name | Oxmoor Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 105 Lyndon Ln Ste 104, Louisville, Kentucky |
| Authorized Official Name and Position | Nader Ehsani (OWNER) |
| Authorized Official Contact | 5024121475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oxmoor Dental Care 105 Lyndon Ln Ste 104 Louisville KY 40222-5550 Ph: (502) 412-2475 | Oxmoor Dental Care 105 Lyndon Ln Ste 104 Louisville KY 40222-5550 Ph: (502) 412-2475 |
| NPI Number | 1326282914 |
|---|---|
| Provider Enumeration Date | 04/27/2009 |
| Last Update Date | 04/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326282914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8081 (Kentucky) | Primary |
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