| Strull & Strull, Psc | |
|
4122 Shelbyville Rd Suite A Louisville KY 40207-3242 | |
| (502) 896-4401 | |
| (502) 893-4930 |
| Full Name | Strull & Strull, Psc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4122 Shelbyville Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Gregory Evan Strull (ORAL SURGEON) |
| Authorized Official Contact | 5028964401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Strull & Strull, Psc 4122 Shelbyville Rd Ste A Louisville KY 40207-3212 Ph: (502) 896-4401 | Strull & Strull, Psc 4122 Shelbyville Rd Suite A Louisville KY 40207-3242 Ph: (502) 896-4401 |
| NPI Number | 1508986951 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 03/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508986951 | NPI | - | NPPES |
| 100001530A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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