Individual
DR. JOHN ANDREW HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, PHD, MSD
Contact information
Practice address
5141 DIXIE HWY STE 102, LOUISVILLE, KY 40216-1765
(502) 448-1546
(502) 448-9979
Mailing address
5141 DIXIE HWY STE 102, LOUISVILLE, KY 40216-1765
(502) 448-1546
(502) 448-9979
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
9997
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2017
Last updated
06/23/2020
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