| Periodontal Care & Implant Center | |
|
3409 Stony Spring Cir Louisville KY 40220-5433 | |
| (502) 499-6171 | |
| (502) 499-9980 |
| Full Name | Periodontal Care & Implant Center |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3409 Stony Spring Cir, Louisville, Kentucky |
| Authorized Official Name and Position | Melissa Kaye Corbit (OFFICE MANAGER) |
| Authorized Official Contact | 5024996171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Care & Implant Center 3409 Stony Spring Cir Louisville KY 40220-5433 Ph: (502) 499-6171 | Periodontal Care & Implant Center 3409 Stony Spring Cir Louisville KY 40220-5433 Ph: (502) 499-6171 |
| NPI Number | 1114944816 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114944816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 6418 (Kentucky) | Primary |
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