# ALAN R GOULD DDS MS LLC

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

## Provider details

- **NPI number:** 1558370031
- **Authorized official:** DR. ALAN R GOULD DDS MS (ORAL & MAXILLOFACIAL PATHOLOGIST)
- **Authorized official phone:** (502) 241-7116

## Contact information

- **Practice address:** 5805 W HIGHWAY 22, CRESTWOOD, KY 40014-7244
- **Practice address phone:** (502) 241-7116
- **Practice address fax:** (502) 241-2339
- **Mailing address:** 1169 EASTERN PKWY, SUITE G71, LOUISVILLE, KY 40217-1417
- **Mailing address phone:** (502) 456-6217
- **Mailing address fax:** (502) 456-4440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | 12010715A | IN | — |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | 4925 | KY | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 01/13/2017