Rougeux, David A
Rougeux, David A is an sole proprietor health care provider with primary practice located at 3934 Dixie Hwy Suite 430, Louisville KY 40216-4163. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Pediatric Dentistry is his primary health care specialty. Rougeux, David A can be contacted via phone (502) 449-1723.Contact Information
Primary practice address
3934 Dixie Hwy Suite 430
Louisville KY 40216-4163
Phone: (502) 449-1723
Fax: (502) 448-7488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 6253 | Kentucky |
| Dental Providers / Dentist | 122300000X | 6253 | Kentucky |
Profile Details
| NPI number | 1316935570 |
|---|---|
| LBN Legal business name | Rougeux, David A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Nov 5th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316935570 | NPPES |
| Kentucky | MEDICAID | 4581 |
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