# JOHN F. FRITZ, JR., D.M.D., R.PH, P.S.C.

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

## Provider details

- **NPI number:** 1417207606
- **Authorized official:** DR. JOHN F. FRITZ JR. D.M.D., R.PH. (PRESIDENT/C.E.O.)
- **Authorized official phone:** (502) 376-4557

## Contact information

- **Practice address:** 9014 LYNDON LAKES PL, LOUISVILLE, KY 40242-4541
- **Practice address phone:** (502) 376-4557
- **Mailing address:** 9014 LYNDON LAKES PL, LOUISVILLE, KY 40242-4541
- **Mailing address phone:** (502) 376-4557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6785 | KY | — |
| 1223G0001X | General Practice Dentistry | 6785 | KY | Yes |
| 183500000X | Pharmacist | 009474 | KY | — |

## Other

- **Enumeration date:** 09/14/2012
- **Last updated:** 09/14/2012