Individual
AUSTIN MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2415 LIME KILN LN, STE E, LOUISVILLE, KY 40222
(502) 426-6089
Mailing address
2415 LIME KILN LN, STE E, LOUISVILLE, KY 40222
(502) 426-6089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10767
KY
Other
Enumeration date
06/01/2022
Last updated
11/04/2022
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