Individual
D'NAI CELESTE OVERSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
(502) 772-4783
Mailing address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
(502) 772-4783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8779
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100074870
—
KY
Enumeration date
07/14/2009
Last updated
07/01/2013
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