# JOSEPH H. CIESLAK, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Louisville Oral Surgery & Dental Implants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215193974
- **Authorized official:** DR. JOSEPH H CIESLAK DDS (OWNER)
- **Authorized official phone:** (502) 231-2230

## Contact information

- **Practice address:** 5906 BARDSTOWN RD, LOUISVILLE, KY 40291-1935
- **Practice address phone:** (502) 231-2230
- **Practice address fax:** (502) 231-3443
- **Mailing address:** 5906 BARDSTOWN RD, LOUISVILLE, KY 40291-1935
- **Mailing address phone:** (502) 231-2230
- **Mailing address fax:** (502) 231-3443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 7038 | NULL | Yes |
| 174400000X | Specialist | 7038 | — | Yes |
| 332BC3200X | Customized Equipment (DME) | 7038 | KY | — |

## Other

- **Enumeration date:** 08/01/2008
- **Last updated:** 08/02/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1059670 | PASSPORT | KY |
| 05 | — | 64070386 | — | KY |