Individual
DR. MATTHEW TEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9900 3RD STREET RD, LOUISVILLE, KY 40272-2804
(502) 933-2228
Mailing address
9900 3RD STREET RD, LOUISVILLE, KY 40272-2804
(502) 933-2228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10170
KY
Other
Enumeration date
03/21/2018
Last updated
12/11/2020
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