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

SE Louisville Oral Surgery, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1376298695

SE Louisville Oral Surgery, PC is an Oral and Maxillofacial Surgery (Dentist) in Louisville, Kentucky. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3841 Ruckriegel Pkwy Ste 104
Louisville, KY 40299-3986
Phone: (502) 969-2523
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1376298695
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Swope — Owner · (402) 968-9645
Other names South Louisville Oral Surgery; South Louisville Oral Surgery
NPI enumeratedFebruary 15, 2022
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address8516 Preston Hwy, Louisville, KY 40219-5302

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