Individual
ANDREW WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-3534
Mailing address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-3534
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10781
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2022
Last updated
08/15/2023
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