Periodontal Care & Implant Center
NPI #1114944816 in Louisville, Kentucky
Provider Information
- NPI Number
- 1114944816
- Entity Type
- Organization
- Organization Name
- Periodontal Care & Implant Center
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jul 17, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3409 STONY SPRING CIR
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40220-5433
- Phone
- (502) 499-6171
Authorized Official
- Name
- MS. MELISSA KAYE CORBIT
- Title
- OFFICE MANAGER
- Phone
- (502) 499-6171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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