Individual
DR. NORMAN JAMES STRULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4122 SHELBYVILLE RD, SUITE A, LOUISVILLE, KY 40207
(502) 896-4401
(502) 893-4930
Mailing address
4122 SHELBYVILLE RD, SUITE A, LOUISVILLE, KY 40207
(502) 896-4401
(502) 893-4930
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12005962A
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3417
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044616
ANTHEM BCBS
KY
05
—
100001530A
—
IN
Enumeration date
10/04/2006
Last updated
11/10/2008
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