Individual
MATTHEW CRAIG STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
904 LILY CREEK RD STE 101, LOUISVILLE, KY 40243-2817
(502) 533-6166
Mailing address
904 LILY CREEK RD STE 101, LOUISVILLE, KY 40243-2817
(502) 533-6166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10172
TN
122300000X
Dentist
9246
KY
Other
Enumeration date
11/15/2012
Last updated
12/11/2015
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