Individual
DENNIS S PEPPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4123 DUTCHMAN'S LANE, SUITE 102, LOUISVILLE, KY 40207-5832
(502) 559-1670
(502) 559-1679
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
48025
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168822801
CIDC
TX
05
—
168822802
—
TX
Enumeration date
08/05/2006
Last updated
04/01/2021
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