Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dental Surgicenter of Louisville LLC

Organization Anesthesiology Physician · NPI 1255846770

Dental Surgicenter of Louisville LLC is an Anesthesiology Physician in Louisville, Kentucky. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2800 Cannons Ln Ste 100
Louisville, KY 40205-2173
Phone: (502) 813-8604
Fax: (502) 813-8612
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1255846770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Devin Larsen — Ceo · (717) 489-2198
NPI enumeratedDecember 6, 2017
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address9709 Lakeside Blvd Ste 350, Spring, TX 77381-1216

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