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Individual

DR. JOHN J SAUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-1304
(502) 852-3364
Mailing address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-1304
(502) 852-3364

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
2901009195
MD
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
8565
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
190003329
RAILROAD MEDICARE
MD
05
418538200
MD
Enumeration date
10/23/2006
Last updated
02/18/2011
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