Organization
ORAL HEALTH SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK THOMAS REAMS D.M.D. (PRESIDENT)
(502) 962-4442
Entity
Organization
Contact information
Practice address
4406 ST. RITA DR, LOUISVILLE, KY 40219-3932
(502) 962-4442
Mailing address
4406 ST. RITA DR, LOUISVILLE, KY 40219-3932
(502) 962-4442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5542
KY
261QD0000X
Dental Clinic/Center
5542
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60055432
—
KY
Enumeration date
03/17/2008
Last updated
03/17/2008
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