Organization
EAST LOUISVILLE ORAL SURGERY AND DENTAL IMPLANTS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH W LIVESAY JR. DMD (MEMBER)
(502) 897-5282
Entity
Organization
Contact information
Practice address
1013 N DUPONT SQ STE B, LOUISVILLE, KY 40207-4612
(502) 897-5282
(502) 896-6714
Mailing address
1013 N DUPONT SQ STE B, LOUISVILLE, KY 40207-4612
(502) 897-5282
(502) 896-6714
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Enumeration date
12/16/2021
Last updated
08/14/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us