| Engilman Orthodontics-shepherdsville, Pllc | |
|
1746 Highway 44 E Shepherdsville KY 40165-6131 | |
| (502) 531-9339 | |
| Not Available |
| Full Name | Engilman Orthodontics-shepherdsville, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1746 Highway 44 E, Shepherdsville, Kentucky |
| Authorized Official Name and Position | Steve James (CEO) |
| Authorized Official Contact | 5022548504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Engilman Orthodontics-shepherdsville, Pllc Po Box 437169 Louisville KY 40253-7169 Ph: () - | Engilman Orthodontics-shepherdsville, Pllc 1746 Highway 44 E Shepherdsville KY 40165-6131 Ph: (502) 531-9339 |
| NPI Number | 1033347869 |
|---|---|
| Provider Enumeration Date | 07/01/2009 |
| Last Update Date | 07/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033347869 | NPI | - | NPPES |
| 6000235900 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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