Individual
STEPHANIE A POYNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 776-8912
Mailing address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 776-8912
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7370
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15983
DORAL DENTAL
KY
05
—
60001906
—
KY
Enumeration date
06/28/2005
Last updated
04/19/2021
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