Organization
SAMANTHA SHAVER DMD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA SHAVER (OWNER)
(502) 968-1412
Entity
Organization
Contact information
Practice address
7926 PRESTON HWY, SUITE 201, LOUISVILLE, KY 40219-3848
(502) 968-1412
(502) 968-8797
Mailing address
7926 PRESTON HWY, SUITE 201, LOUISVILLE, KY 40219-3848
(502) 968-1412
(502) 968-8797
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6937
KY
Other
Enumeration date
08/01/2016
Last updated
08/04/2016
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