PERIODONTAL CARE & IMPLANT CENTER NPI 1114944816

NPI Information

PERIODONTAL CARE & IMPLANT CENTER is a periodontics dentist in Louisville, KY. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PERIODONTAL CARE & IMPLANT CENTER NPI is 1114944816. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3409 STONY SPRING CIR
LOUISVILLE, KY
ZIP 40220-433
Phone: (502) 499-6171
Fax: (502) 499-9980

The provider's authorized official is Melissa Kaye Corbit .
The authorized official title is Office Manager and has the following contact phone number (502) 499-6171.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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