Louisville Dental Associates LLC
NPI #1407346901 in Louisville, Mississippi
Provider Information
- NPI Number
- 1407346901
- Entity Type
- Organization
- Organization Name
- Louisville Dental Associates LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 10, 2018
- Last Updated
- May 10, 2018
Practice Location
- Address
- 16701 E MAIN ST
- City
- Louisville
- State
- Mississippi
- ZIP Code
- 39339-2751
- Phone
- (601) 575-8806
Authorized Official
- Name
- ASHLEY EAVES
- Title
- ACCOUNTING/OFFICE MANAGER
- Phone
- (601) 575-8806
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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