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FRED LOOK P.S.C. D.M.D. NPI 1306835632


NPI Information

NPI: 1306835632
Provider Name: FRED LOOK, P.S.C., D.M.D.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
5141 DIXIE HWY
SUITE 104
LOUISVILLE, KY
ZIP 40216
Phone: (502) 448-7988
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FRED LOOK, P.S.C., D.M.D. is an oral and maxillofacial surgery dentist in Louisville, KY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. FRED LOOK, P.S.C., D.M.D. NPI is 1306835632. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5141 DIXIE HWY
SUITE 104
LOUISVILLE, KY
ZIP 40216-765
Phone: (502) 448-7988
Fax: (502) 447-9326

The provider's authorized official is Fred Look .
The authorized official title is President and has the following contact phone number (502) 448-7988.

The enumeration date for this NPI number is 10/19/2005 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery3880KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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