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

John M McCrillis

Individual provider General Practice Dentistry · NPI 1184678815

John M McCrillis is a General Practice Dentistry in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2006

Practice location Address checks out

3935 Dupont Cir Ste C
Louisville, KY 40207-4824
Phone: (502) 458-7476
Fax: (502) 458-7797
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4612 (KY)

Record details

NPI number1184678815
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 19, 2006
Last updated in NPPESMay 17, 2016

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