Organization
LIFETIME DENTAL CARE OF KENTUCKY, P.S.C. - DR WAYNE OLGES
Active
Other names
Forest Green Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M KROEGER (INS COOD)
(217) 540-5100
Entity
Organization
Contact information
Practice address
10031 FOREST GREEN BLVD, LOUISVILLE, KY 40223-5119
(502) 412-7587
(502) 412-7066
Mailing address
10031 FOREST GREEN BLVD, LOUISVILLE, KY 40223-5119
(502) 412-7587
(502) 412-7066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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