# GREATER LOUISVILLE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marks, Epstein & Pape
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649271263
- **Authorized official:** DEBBIE J TROKLUS (PRACTICE MANAGER)
- **Authorized official phone:** (502) 459-9973

## Contact information

- **Practice address:** 3101 BRECKENRIDGE LN, STE 2D, LOUISVILLE, KY 40220-2742
- **Practice address phone:** (502) 459-8012
- **Practice address fax:** (502) 459-8021
- **Mailing address:** 3101 BRECKENRIDGE LN, STE 2D, LOUISVILLE, KY 40220-2742
- **Mailing address phone:** (502) 459-8012
- **Mailing address fax:** (502) 459-8021

## Taxonomy

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

## Other

- **Enumeration date:** 08/04/2005
- **Last updated:** 07/21/2022