Individual
DR. DAREN LANDIS PEACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9709 DIXIE HWY, LOUISVILLE, KY 40272-3939
(502) 933-7363
(502) 805-1957
Mailing address
9709 DIXIE HWY, LOUISVILLE, KY 40272-3939
(502) 933-7363
(502) 805-1957
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8102
KY
1223G0001X
General Practice Dentistry
KY8102
KY
1223P0221X
Pediatric Dentistry
Primary
8102
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100137020
—
KY
Enumeration date
11/16/2006
Last updated
08/23/2013
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