Organization
SPRINGHURST ENDODONTICS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLANTA SAUER (OWNER)
(502) 618-1200
Entity
Organization
Contact information
Practice address
3801 SPRINGHURST BLVD STE 108, LOUISVILLE, KY 40241-6137
(502) 618-1200
(502) 618-1205
Mailing address
3801 SPRINGHURST BLVD STE 108, LOUISVILLE, KY 40241-6137
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
8260
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60004256
—
KY
Enumeration date
02/01/2012
Last updated
02/01/2012
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