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Organization
ALAN R GOULD DDS MS LLC
Active
Organization
ALAN R GOULD DDS MS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN R GOULD DDS MS (ORAL & MAXILLOFACIAL PATHOLOGIST)
(502) 241-7116
Entity
Organization
Contact information
Practice address
5805 W HIGHWAY 22, CRESTWOOD, KY 40014-7244
(502) 241-7116
(502) 241-2339
Mailing address
1169 EASTERN PKWY, SUITE G71, LOUISVILLE, KY 40217-1417
(502) 456-6217
(502) 456-4440
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
12010715A
IN
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
4925
KY
Other
Enumeration date
08/05/2006
Last updated
01/13/2017
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