Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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East Louisville Oral Surgery and Dental Implants PLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1275292377

East Louisville Oral Surgery and Dental Implants PLC is an Oral and Maxillofacial Surgery (Dentist) in Louisville, Kentucky. Works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1013 N Dupont Sq Ste B
Louisville, KY 40207-4612
Phone: (502) 897-5282
Fax: (502) 896-6714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4181 New Shepherdsville Rd, Bardstown, KY 40004-9021 — (502) 305-3649
  • 300 Middletown Park Pl Ste A, Louisville, KY 40243-2541 — (502) 254-3818

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X

Record details

NPI number1275292377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Livesay — Member · (502) 897-5282
NPI enumeratedDecember 16, 2021
Last updated in NPPESAugust 14, 2023
Certification dateJuly 19, 2023
Mailing address1013 N Dupont Sq Ste B, Louisville, KY 40207-4612

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