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 1972782407

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 2007.

In the registry since
2007
Specialties on file
2
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Practice location Address checks out

300 Middletown Park Pl Ste A
Louisville, KY 40243-2541
Phone: (502) 254-3818
Fax: (502) 254-3819
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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
  • 1013 N Dupont Sq Ste B, Louisville, KY 40207-4612 — (502) 897-5282

Specialties & licences

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

Record details

NPI number1972782407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Livesay — Oral Surgeon · (502) 254-3818
NPI enumeratedNovember 1, 2007
Last updated in NPPESDecember 12, 2019
Certification dateDecember 12, 2019
Mailing address1013 N Dupont Sq Ste B, Louisville, KY 40207-4612

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