Anthony Distler, DMD is a student in an organized health care education training program in Louisville, KY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Anthony Distler, DMD NPI is 1407210289. 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:
2221 MEADOW DR
LOUISVILLE, KY
ZIP 40218-330
Phone: (502) 523-2433
The NPI 1407210289 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 4/7/2016 and was last updated on 6/29/2017.