Organization
MYRON F SHUSTER, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRON F SHUSTER DMD (OWNER)
(502) 451-1020
Entity
Organization
Contact information
Practice address
3101 BRECKENRIDGE LN, SUITE 4B, LOUISVILLE, KY 40220-2742
(502) 451-1020
(502) 451-9339
Mailing address
3101 BRECKENRIDGE LN, SUITE 4B, LOUISVILLE, KY 40220-2742
(502) 451-1020
(502) 451-9339
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4639
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4503
—
KY
Enumeration date
12/06/2006
Last updated
08/22/2020
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