DR. FRED LOOK D.M.D. NPI 1396733200

NPI Information

  • NPI: 1396733200
  • Provider Name: DR. FRED LOOK, D.M.D.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5141 DIXIE HWY
    SUITE 104
    LOUISVILLE, KY
    ZIP 40216
  • Phone: (502) 448-7988

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NPI Details

DR. Fred Look, 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. DR. Fred Look, D.M.D. NPI is 1396733200. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

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 NPI 1396733200 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 8/21/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistKY3880KENTUCKYNo
21223S0112XDentistOral and Maxillofacial Surgery3880KENTUCKYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U02714MEDICARE UPINKENTUCKY
21118401MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY

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: 11/21/2025

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