| Jonathan Mitchell, DMD, PSC | |
|
1716 Gardiner Ln Louisville KY 40205-2738 | |
| (502) 552-8934 | |
| Not Available |
| Full Name | Jonathan Mitchell, DMD, PSC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1716 Gardiner Ln, Louisville, Kentucky |
| Authorized Official Name and Position | Jonathan E Mitchell (OWNER) |
| Authorized Official Contact | 5025528934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Mitchell, DMD, PSC 1716 Gardiner Ln Louisville KY 40205-2738 Ph: (502) 552-8934 | Jonathan Mitchell, DMD, PSC 1716 Gardiner Ln Louisville KY 40205-2738 Ph: (502) 552-8934 |
| NPI Number | 1740733559 |
|---|---|
| Provider Enumeration Date | 07/27/2016 |
| Last Update Date | 09/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740733559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9250 (Kentucky) | Primary |
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