| V.s. Degeorge, Dmd, Psc | |
|
8013 New Lagrange Road Suite #3 Louisville KY 40222-4077 | |
| (502) 426-4868 | |
| (502) 426-4869 |
| Full Name | V.s. Degeorge, Dmd, Psc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8013 New Lagrange Road, Louisville, Kentucky |
| Authorized Official Name and Position | Victor S Degeorge (ORTHODONTIST) |
| Authorized Official Contact | 5024264868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| V.s. Degeorge, Dmd, Psc 8013 New Lagrange Road Suite #3 Louisville KY 40222-4077 Ph: (502) 426-4868 | V.s. Degeorge, Dmd, Psc 8013 New Lagrange Road Suite #3 Louisville KY 40222-4077 Ph: (502) 426-4868 |
| NPI Number | 1194096115 |
|---|---|
| Provider Enumeration Date | 01/23/2012 |
| Last Update Date | 01/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194096115 | NPI | - | NPPES |
| 60035508 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3550 (Kentucky) | Primary |
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