# S.E. LOUISVILLE ORAL SURGERY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Louisville Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376298695
- **Authorized official:** DR. JONATHAN SWOPE MD,DMD (OWNER)
- **Authorized official phone:** (402) 968-9645

## Contact information

- **Practice address:** 3841 RUCKRIEGEL PKWY STE 104, LOUISVILLE, KY 40299-3986
- **Practice address phone:** (502) 969-2523
- **Mailing address:** 8516 PRESTON HWY, LOUISVILLE, KY 40219-5302

## Taxonomy

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

## Other

- **Enumeration date:** 02/15/2022
- **Last updated:** 06/05/2025