Degeorge, Victor Sebastian

Degeorge, Victor Sebastian is an sole proprietor health care provider with primary practice located at 8013 New Lagrange Rd Suite 3, Louisville KY 40222-4077. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Degeorge, Victor Sebastian can be contacted via phone (502) 426-4868.

Contact Information

Primary practice address
8013 New Lagrange Rd Suite 3 Louisville KY 40222-4077
Phone: (502) 426-4868
Fax: (502) 426-4869
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 147 Kentucky

Profile Details

NPI number 1801936620
LBN Legal business name Degeorge, Victor Sebastian
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Dec 8th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801936620 NPPES
Kentucky MEDICAID 60035508

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