| Metro Louisville Endodontics,llc | |
|
3036 Breckenridge Ln Ste 103 Louisville KY 40220-2196 | |
| (502) 495-1822 | |
| (502) 495-1825 |
| Full Name | Metro Louisville Endodontics,llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3036 Breckenridge Ln Ste 103, Louisville, Kentucky |
| Authorized Official Name and Position | Earl D Walker (ENDODONTIST) |
| Authorized Official Contact | 5024951822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Louisville Endodontics,llc 3036 Breckenridge Ln Ste 103 Louisville KY 40220-2196 Ph: (502) 495-1822 | Metro Louisville Endodontics,llc 3036 Breckenridge Ln Ste 103 Louisville KY 40220-2196 Ph: (502) 495-1822 |
| NPI Number | 1720290026 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720290026 | NPI | - | NPPES |
| 6102 | Other | KY | DENTAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 6102 (Kentucky) | Primary |
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