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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1154310985

Dr. Maneesh Mohan, DMD is an Oral and Maxillofacial Surgery (Dentist) in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Indiana and Kentucky.

Licensed in
IN, KY
In the registry since
2005
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5100 Outer Loop Ste B
Louisville, KY 40219-3201
Phone: (502) 966-8660
Fax: (502) 969-8444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 8191 (KY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 12011030A (IN)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 8181 (KY)

Record details

NPI number1154310985
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 14, 2005
Last updated in NPPESJune 12, 2014

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