Organization
EVERSMILE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR WICKSON DMD (PRESIDENT)
(502) 386-0657
Entity
Organization
Contact information
Practice address
4825 S 3RD ST, LOUISVILLE, KY 40214-2184
(502) 361-8988
Mailing address
4825 S 3RD ST, LOUISVILLE, KY 40214-2184
(502) 361-8988
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6987
KY
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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