# PRESTON HIGHWAY ORAL SURGERY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Derby City Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083267629
- **Authorized official:** GINA ABROTSKY (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (720) 603-4788

## Contact information

- **Practice address:** 8516 PRESTON HWY, LOUISVILLE, KY 40219-5302
- **Practice address phone:** (502) 969-2523
- **Mailing address:** 8516 PRESTON HWY, LOUISVILLE, KY 40219-5302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2019
- **Last updated:** 07/23/2019