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Organization
S.E. LOUISVILLE ORAL SURGERY, P.C.
Active
Organization
S.E. LOUISVILLE ORAL SURGERY, P.C.
Active
Other names
South Louisville Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SWOPE MD,DMD (OWNER)
(402) 968-9645
Entity
Organization
Contact information
Practice address
3841 RUCKRIEGEL PKWY STE 104, LOUISVILLE, KY 40299-3986
(502) 969-2523
Mailing address
8516 PRESTON HWY, LOUISVILLE, KY 40219-5302
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
06/05/2025
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