Individual
ALEXANDER MUSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5100 OUTER LOOP, LOUISVILLE, KY 40219
(502) 966-8660
Mailing address
5100 OUTER LOOP, LOUISVILLE, KY 40219-4056
(502) 966-8660
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12012589A
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9854
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
9854
KY
Other
Enumeration date
05/09/2013
Last updated
06/21/2018
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