| S.e. Louisville Oral Surgery, P.c. | |
|
8516 Preston Hwy Louisville KY 40219-5302 | |
| (502) 969-2523 | |
| Not Available |
| Full Name | S.e. Louisville Oral Surgery, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8516 Preston Hwy, Louisville, Kentucky |
| Authorized Official Name and Position | Jonathan Swope (OWNER) |
| Authorized Official Contact | 4029689645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S.e. Louisville Oral Surgery, P.c. 8516 Preston Hwy Louisville KY 40219-5302 Ph: () - | S.e. Louisville Oral Surgery, P.c. 8516 Preston Hwy Louisville KY 40219-5302 Ph: (502) 969-2523 |
| NPI Number | 1376298695 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 02/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376298695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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