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Organization
DENTIST IN LOUISVILLE LLC
Active
Organization
DENTIST IN LOUISVILLE LLC
Active
Other names
DENTIST IN LOUISVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
SREEKANTH REDDY EMANI DDS (DENTIST)
(803) 830-6881
Entity
Organization
Contact information
Practice address
6826 BARDSTOWN RD, LOUISVILLE, KY 40291-3050
(803) 830-6881
Mailing address
1305 KNOX ABBOTT DR STE 101, CAYCE, SC 29033-3348
(803) 830-6881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/31/2024
Last updated
08/31/2024
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