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Organization
JOSEPH H. CIESLAK, DDS, PLLC
Active
Organization
JOSEPH H. CIESLAK, DDS, PLLC
Active
Other names
Louisville Oral Surgery & Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H CIESLAK DDS (OWNER)
(502) 231-2230
Entity
Organization
Contact information
Practice address
5906 BARDSTOWN RD, LOUISVILLE, KY 40291-1935
(502) 231-2230
(502) 231-3443
Mailing address
5906 BARDSTOWN RD, LOUISVILLE, KY 40291-1935
(502) 231-2230
(502) 231-3443
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7038
NULL
174400000X
Specialist
Primary
7038
—
332BC3200X
Customized Equipment (DME)
7038
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1059670
PASSPORT
KY
05
—
64070386
—
KY
Enumeration date
08/01/2008
Last updated
08/02/2016
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