Individual
DAVID A ROUGEUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3934 DIXIE HWY, SUITE 430, LOUISVILLE, KY 40216-4163
(502) 449-1723
(502) 448-7488
Mailing address
3934 DIXIE HWY, 430, LOUISVILLE, KY 40216-4163
(502) 449-1723
(502) 448-7488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6253
KY
1223P0221X
Pediatric Dentistry
Primary
6253
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4581
—
KY
Enumeration date
10/12/2005
Last updated
11/05/2013
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