Individual
DR. EILEEN SCHILLING HAEBERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
211 HIGH POINT CT, SUITE 500, MT WASHINGTON, KY 40047-5528
(502) 538-2400
(502) 538-2403
Mailing address
3804 GRANDVIEW AVE, LOUISVILLE, KY 40207-3755
(502) 645-0234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9319
KY
1223P0221X
Pediatric Dentistry
Primary
9319
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2013
Last updated
07/03/2019
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