DR. MICHAEL BURGIN MATHIS D.M.D. NPI 1396847356

NPI Information

  • NPI: 1396847356
  • Provider Name: DR. MICHAEL BURGIN MATHIS, D.M.D.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 3000 BARDSTOWN RD
    LOUISVILLE, KY
    ZIP 40205
  • Phone: (502) 451-2212

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NPI Details

DR. Michael Burgin Mathis, D.M.D. is a general practice dentist in Louisville, KY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Michael Burgin Mathis, D.M.D. NPI is 1396847356. 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:

3000 BARDSTOWN RD
LOUISVILLE, KY
ZIP 40205-009
Phone: (502) 451-2212
Fax: (502) 456-0849

The enumeration date for this NPI number is 9/1/2006 and was last updated on 7/8/2007.

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
11223G0001XDentistGeneral Practice4618KENTUCKYYes

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: 3/30/2025

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