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Organization
GERALD D VERDI DDS MD PLLC
Active
Organization
GERALD D VERDI DDS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD D VERDI DDS MD (OWNER / PHYSICIAN)
(502) 895-5555
Entity
Organization
Contact information
Practice address
4121 DUTCHMANS LN, STE 311, LOUISVILLE, KY 40207-4707
(502) 895-5555
(502) 895-5550
Mailing address
4121 DUTCHMANS LN, STE 311, LOUISVILLE, KY 40207-4707
(502) 895-5555
(502) 895-5550
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
16645
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000218137
ANTHEM FACETS
KY
Enumeration date
12/16/2005
Last updated
08/22/2020
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