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

Dr. Phillip Gordon McIntosh Jr., DMD

Individual provider Dentist · NPI 1992874028

Dr. Phillip Gordon McIntosh Jr., DMD is a Dentist in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2006
Specialties on file
2
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

3101 Breckenridge Lane 1-E
Louisville, KY 40220
Phone: (502) 459-7352
Fax: (502) 459-7922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 5469 (KY)
Dentist Taxonomy 122300000X · Licence 5469 (KY)

Record details

NPI number1992874028
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedNovember 6, 2006
Last updated in NPPESMay 20, 2024

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