East Louisville Oral Surgery And Dental Implants Plc

LBN: East Louisville Oral Surgery And Dental Implants Plc
East Louisville Oral Surgery And Dental Implants Plc is an health care organization with primary practice located at 300 Middletown Park Pl Ste A , Louisville KY 40243-2541. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty. East Louisville Oral Surgery And Dental Implants Plc can be contacted via phone (502) 254-3818, or through Livesay, Kenneth Wayne via phone (502) 254-3818.

Contact Information

Primary practice address
300 Middletown Park Pl Ste A Louisville KY 40243-2541
Phone: (502) 254-3818
Fax: (502) 254-3819
Website:
Map and Directions
Authorized official contact:
Name: Livesay, Kenneth Wayne Doctor of Dental Medicine (DMD)
Phone: (502) 254-3818

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X

Profile Details

NPI number 1972782407
LBN Legal business name East Louisville Oral Surgery And Dental Implants Plc
DBA Doing business as
Authorized official Livesay, Kenneth Wayne Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2007
Last updated Dec 12th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972782407 NPPES
Kentucky MEDICAID 7100122880

Popular Providers