DR. PORCHUSA LARAI COMBS D.M.D. NPI 1699037390

NPI Information

DR. Porchusa Larai Combs, D.M.D. is a pediatric dentistry dentist in Louisville, KY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Porchusa Larai Combs, D.M.D. NPI is 1699037390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

982 EASTERN PKWY
LOUISVILLE, KY
ZIP 40217-566
Phone: (502) 852-5642

The NPI 1699037390 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/9/2012 and was last updated on 1/8/2014.

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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