Individual
DR. MARK L. BERNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
501 S PRESTON ST, SCHOOL OF DENTISTRY, SUITE 334, LOUISVILLE, KY 40292-0001
(502) 852-5083
(502) 852-5988
Mailing address
DEPT. OF SURGICAL AND HOSPITAL DENTISTRY, UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY, LOUISVILLE, KY 40292-0001
(502) 852-5083
(502) 852-5988
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
4807
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000311546
ANTHEM BC BS
KY
01
—
4013501
ORAL PATH MEDICARE PIN
KY
01
—
50015221
PASSPORT HEALTH PLAN
KY
05
—
60003381
—
KY
01
—
9178936
DORAL DENTAL
KY
01
—
W01743
ORAL PATH LAB UPIN
KY
Enumeration date
05/11/2006
Last updated
11/07/2007
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