Organization
METRO LOUISVILLE ENDODONTICS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL D WALKER D.M.D. (ENDODONTIST)
(502) 495-1822
Entity
Organization
Contact information
Practice address
3036 BRECKENRIDGE LN STE 103, LOUISVILLE, KY 40220-2196
(502) 495-1822
(502) 495-1825
Mailing address
3036 BRECKENRIDGE LN STE 103, LOUISVILLE, KY 40220-2196
(502) 495-1822
(502) 495-1825
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6102
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6102
DENTAL LICENSE NUMBER
KY
Enumeration date
05/07/2007
Last updated
08/22/2020
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