| Greater Louisville Oral And Maxillofacial Surgery Associates, Psc | |
|
3101 Breckenridge Ln Ste 2d Louisville KY 40220-2742 | |
| (502) 459-8012 | |
| (502) 459-8021 |
| Full Name | Greater Louisville Oral And Maxillofacial Surgery Associates, Psc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3101 Breckenridge Ln, Louisville, Kentucky |
| Authorized Official Name and Position | Debbie J Troklus (PRACTICE MANAGER) |
| Authorized Official Contact | 5024599973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Louisville Oral And Maxillofacial Surgery Associates, Psc 3101 Breckenridge Ln Ste 2d Louisville KY 40220-2742 Ph: (502) 459-8012 | Greater Louisville Oral And Maxillofacial Surgery Associates, Psc 3101 Breckenridge Ln Ste 2d Louisville KY 40220-2742 Ph: (502) 459-8012 |
| NPI Number | 1649271263 |
|---|---|
| Provider Enumeration Date | 08/04/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649271263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Kentucky) | Primary |
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