Maxillofacial Oncologic Dentistry

LBN: University Of Louisville
Maxillofacial Oncologic Dentistry is an health care organization with primary practice located at 529 S Jackson St # 127, Louisville KY 40202-3229. The organization recently has only one registered license in Hospitals / Special Hospital, which is considered as the primary health care specialty. University Of Louisville can be contacted via phone (502) 852-5747, or through Khan, Zafrulla via phone (502) 852-5747.

Contact Information

Primary practice address
529 S Jackson St # 127 Louisville KY 40202-3229
Phone: (502) 852-5747
Fax: (502) 852-6132
Website:
Map and Directions
Authorized official contact:
Name: Khan, Zafrulla Doctor of Dental Surgery (DDS)
Phone: (502) 852-5747

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Special Hospital 284300000X

Profile Details

NPI number 1013041391
LBN Legal business name University Of Louisville
DBA Doing business as Maxillofacial Oncologic Dentistry
Authorized official Khan, Zafrulla Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Sep 21st, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013041391 NPPES
Indiana Other 100018200 INDIANA MEDICAID
Indiana Other 775656 INDIANA MEDICAID
Indiana Other 2438647000 INDIANA MEDICAID
Indiana Other 190005666 INDIANA MEDICAID
Indiana MEDICAID 60050671 INDIANA MEDICAID
Indiana Other 0003831 INDIANA MEDICAID
Indiana Other 000000175275 INDIANA MEDICAID
Indiana Other 5651497 INDIANA MEDICAID

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