Organization
LOUISVILLE DENTAL SLEEP MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MERTON MCCRILLIS DMD (OWNER)
(502) 458-7476
Entity
Organization
Contact information
Practice address
3935 DUPONT CIR, SUITE C, LOUISVILLE, KY 40207-4824
(502) 458-7476
(502) 458-7797
Mailing address
3935 DUPONT CIR, SUITE C, LOUISVILLE, KY 40207-4824
(502) 458-7476
(502) 458-7797
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
KY4612
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610937390
TRICARE
KY
Enumeration date
05/17/2016
Last updated
05/17/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us