Individual
DR. MICHAEL BURGIN MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3000 BARDSTOWN RD, LOUISVILLE, KY 40205-3009
(502) 451-2212
(502) 456-0849
Mailing address
3000 BARDSTOWN RD, LOUISVILLE, KY 40205-3009
(502) 451-2212
(502) 456-0849
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4618
KY
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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