Organization
ENGILEMAN ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ENGILMAN DMD,MS (ORTHODIONTIST/OWNER)
(502) 225-0882
Entity
Organization
Contact information
Practice address
2005 S HIGHWAY 53, LAGRANGE, KY 40031-9109
(502) 222-4613
(502) 225-0882
Mailing address
134 N EVERGREEN RD, SUITE 101, MIDDLETOWN, KY 40243-1487
(502) 253-2201
(502) 253-2202
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2006
Last updated
08/22/2020
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