Individual
ANASTASIA MORGAN COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2300 TERRA CROSSING BLVD STE 107, LOUISVILLE, KY 40245-5906
(502) 709-7285
(502) 305-6520
Mailing address
P.O. BOX 437169, LOUISVILLE, KY 40253-7169
(502) 254-8537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8200
KY
1223G0001X
General Practice Dentistry
8200
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60003563
—
KY
01
—
7100191280
EPSDT
KY
Enumeration date
03/03/2006
Last updated
10/19/2018
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