# FRED LOOK, P.S.C., D.M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306835632
- **Authorized official:** DR. FRED LOOK DMD (PRESIDENT)
- **Authorized official phone:** (502) 448-7988

## Contact information

- **Practice address:** 5141 DIXIE HWY, SUITE 104, LOUISVILLE, KY 40216-1765
- **Practice address phone:** (502) 448-7988
- **Practice address fax:** (502) 447-9326
- **Mailing address:** 5141 DIXIE HWY, SUITE 104, LOUISVILLE, KY 40216-1765
- **Mailing address phone:** (502) 448-7988
- **Mailing address fax:** (502) 447-9326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3880 | KY | Yes |

## Other

- **Enumeration date:** 10/19/2005
- **Last updated:** 08/22/2020
