Organization
ENGILMAN ORTHODONTICS-SHEPHERDSVILLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE JAMES (CEO)
(502) 254-8504
Entity
Organization
Contact information
Practice address
1746 HIGHWAY 44 E, SHEPHERDSVILLE, KY 40165-6131
(502) 531-9339
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000235900
—
KY
Enumeration date
07/01/2009
Last updated
07/01/2009
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