| Samantha Shaver Dmd Psc | |
|
7926 Preston Hwy Suite 201 Louisville KY 40219-3848 | |
| (502) 968-1412 | |
| (502) 968-8797 |
| Full Name | Samantha Shaver Dmd Psc |
|---|---|
| Speciality | Dentist |
| Location | 7926 Preston Hwy, Louisville, Kentucky |
| Authorized Official Name and Position | Samantha Shaver (OWNER) |
| Authorized Official Contact | 5029681412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Shaver Dmd Psc 7926 Preston Hwy Suite 201 Louisville KY 40219-3848 Ph: (502) 968-1412 | Samantha Shaver Dmd Psc 7926 Preston Hwy Suite 201 Louisville KY 40219-3848 Ph: (502) 968-1412 |
| NPI Number | 1134672611 |
|---|---|
| Provider Enumeration Date | 08/01/2016 |
| Last Update Date | 08/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134672611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6937 (Kentucky) | Primary |
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