Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1407857071
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3101, Breckenridge Lane, Louisville, Jefferson County, Kentucky, 40220, United States
STE 2D
LOUISVILLE, KY 402202742
Phone: (502) 459-8012
Fax: (502) 459-8021
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40220)
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