Individual
DR. MEGAN ANNE DEGARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
4305 WESTPORT TER, LOUISVILLE, KY 40207
(843) 685-0707
Mailing address
501 S PRESTON ST, LOUISVILLE, KY 40202
(502) 852-1094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4544
SC
1223G0001X
General Practice Dentistry
Primary
8626
KY
Other
Enumeration date
10/28/2008
Last updated
01/30/2013
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