Organization
S.E. LOUISVILLE ORAL SURGERY, P.C.
Active
Other names
South Louisville Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SWOPE MD,DMD (OWNER)
(402) 968-9645
Entity
Organization
Contact information
Practice address
3841 RUCKRIEGEL PKWY STE 104, LOUISVILLE, KY 40299-3986
(502) 969-2523
Mailing address
8516 PRESTON HWY, LOUISVILLE, KY 40219-5302
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
06/05/2025
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