Greater Louisville Oral and Maxillofacial Surgery Associates, Psc
NPI #1649271263 in Louisville, Kentucky
Provider Information
- NPI Number
- 1649271263
- Entity Type
- Organization
- Organization Name
- Greater Louisville Oral and Maxillofacial Surgery Associates, Psc
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Aug 4, 2005
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 3101 BRECKENRIDGE LN
- Address 2
- STE 2D
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40220-2742
- Phone
- (502) 459-8012
Authorized Official
- Name
- DEBBIE J TROKLUS
- Title
- PRACTICE MANAGER
- Phone
- (502) 459-9973
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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