| Springhurst Endodontics Psc | |
|
3801 Springhurst Blvd Ste 108 Louisville KY 40241-6137 | |
| (502) 618-1200 | |
| (502) 618-1205 |
| Full Name | Springhurst Endodontics Psc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3801 Springhurst Blvd Ste 108, Louisville, Kentucky |
| Authorized Official Name and Position | Jolanta Sauer (OWNER) |
| Authorized Official Contact | 5026181200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springhurst Endodontics Psc 3801 Springhurst Blvd Ste 108 Louisville KY 40241-6137 Ph: () - | Springhurst Endodontics Psc 3801 Springhurst Blvd Ste 108 Louisville KY 40241-6137 Ph: (502) 618-1200 |
| NPI Number | 1053683342 |
|---|---|
| Provider Enumeration Date | 02/01/2012 |
| Last Update Date | 02/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053683342 | NPI | - | NPPES |
| 60004256 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 8260 (Kentucky) | Primary |
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