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DENTAL SURGICENTER OF LOUISVILLE INC NPI 1255846770


NPI Information

NPI: 1255846770
Provider Name: DENTAL SURGICENTER OF LOUISVILLE INC
Classification: Anesthesiology - 207L00000X
Entity Type: Organization

CLIA Number: 18D2116953

Address:
2800 CANNONS LN STE 100
LOUISVILLE, KY
ZIP 40205
Phone: (502) 813-8604
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DENTAL SURGICENTER OF LOUISVILLE INC is an anesthesiology in Louisville, KY. The provider is an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. DENTAL SURGICENTER OF LOUISVILLE INC NPI is 1255846770. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2800 CANNONS LN STE 100
LOUISVILLE, KY
ZIP 40205-164
Phone: (502) 813-8604
Fax: (502) 813-8612

The provider's authorized official is Nathan Frederick Walters .
The authorized official title is President and has the following contact phone number (502) 587-7874.

The CLIA number assigned to this NPI record is 18D2116953 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2017 and was last updated on 3/29/2018.


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
1207L00000XAnesthesiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100510730MEDICAIDKENTUCKY

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: 11/14/2023

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