| Engileman Orthodontics | |
|
2005 S Highway 53 Lagrange KY 40031-9109 | |
| (502) 222-4613 | |
| (502) 225-0882 |
| Full Name | Engileman Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2005 S Highway 53, Lagrange, Kentucky |
| Authorized Official Name and Position | William Engilman (ORTHODIONTIST/OWNER) |
| Authorized Official Contact | 5022250882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Engileman Orthodontics 134 N Evergreen Rd Suite 101 Middletown KY 40243-1487 Ph: (502) 253-2201 | Engileman Orthodontics 2005 S Highway 53 Lagrange KY 40031-9109 Ph: (502) 222-4613 |
| NPI Number | 1538262753 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538262753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Mortenson Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2005 S Highway 53, Lagrange, KY 40031 Phone: 502-225-0074 Fax: 502-225-0882 |