Hupp, Wendy Stavrides

Hupp, Wendy Stavrides is an individual health care provider with primary practice located at 501 S Preston St , Louisville KY 40202-1701. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Hupp, Wendy Stavrides can be contacted via phone (502) 852-6353.

Contact Information

Primary practice address
501 S Preston St Louisville KY 40202-1701
Phone: (502) 852-6353
Fax: (502) 852-1220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 24173 Pennsylvania
Dental Providers / General Practice 1223G0001X 8535 Kentucky

Profile Details

NPI number 1326043555
LBN Legal business name Hupp, Wendy Stavrides
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Apr 14th, 2008 - about 17 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 1326043555 NPPES
Kentucky MEDICAID 7100017440
Kentucky Other 9202491
Kentucky Other 50017591

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