DR. FRED LOOK (NPI# 1396733200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396733200 |
Entity Type | Individual |
Full Name | DR. FRED LOOK |
Credential | D.M.D. |
Practice Address |
5141 Dixie Hwy Suite 104 Louisville KY 40216-1765 |
Practice Telephone | 5024487988 |
Practice Fax Number | 5024479326 |
Mailing Telephone | 5024487988 |
Mailing Fax Number | 5024479326 |
Enumeration Date | 2005-10-13 |
Last Update Date | 2012-08-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3880 | KY | Dental Providers |
N | 174400000X | Specialist | KY3880 | KY | Other Service Providers |
Street Address |
5141 DIXIE HWY SUITE 104 |
City | LOUISVILLE |
State | KY |
Zip Code | 40216-1765 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902057946 | William Homer Smythe IIi | Dentist | 5141 Dixie Hwy, Suite # 202, Louisville, KY 40216-1765 | 2008-10-08 |
1427171982 | William H Smythe Iv | Dentist | 5141 Dixie Hwy, Suite # 202, Louisville, KY 40216-1765 | 2007-04-09 |
1467586230 | Stephen P Smythe | Dentist | 5141 Dixie Hwy, Suite 101, Louisville, KY 40216-1765 | 2007-03-15 |
1215065420 | Steven M Florence Dmd Plc | Dentist | 5141 Dixie Hwy, Suite 160, Louisville, KY 40216-1765 | 2007-03-01 |
1831292911 | Lewis E Dowden | Dentist | 5141 Dixie Hwy, Suite 201, Louisville, KY 40216-1765 | 2006-09-06 |
1306835632 | Fred Look, P.s.c., D.m.d. | Dentist | 5141 Dixie Hwy, Suite 104, Louisville, KY 40216-1765 | 2005-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386291813 | Austin Roush | Occupational Therapist | 4512 River Front Dr, Louisville, KY 40216 | 2019-08-20 |
1689226201 | A Better You Health Services, Pllc | Nurse Practitioner | 1719 Colony Court, Louisille, KY 40216 | 2019-07-13 |
1649765462 | Bbb of Ky, LLC | Dentist | 5225 Dixie Hwy, Louisville, KY 40216 | 2018-06-25 |
1154829521 | Farnsley Chiropractic, Pllc | Chiropractor | 3500 Dixie Highway, Louisville, KY 40216 | 2018-01-31 |
1114441110 | Ryan Michael Alpino | Optometrist | 4917 1/2 Dixie Hwy, Suite H, Louisville, KY 40216 | 2017-08-01 |
1528595873 | Kentucky Injury & Rehab LLC | Chiropractor | 5120 Dixie Hwy Suite 106, Louisville, KY 40216 | 2017-05-17 |
1326598533 | Nichelle Marshall | Nurse Practitioner | 4912 Dixie Highway, Louisville, KY 40216 | 2016-10-12 |
1891194833 | Denise Yvonne Payne | Dentist | 4115 Dixie Highway, Louisville, KY 40216 | 2014-08-15 |
1881031052 | Brian L. Tripp | Veterinarian | 2401 Dixie Highway, Louisville, KY 40216 | 2013-05-29 |
1134468028 | West Dixie Spine and Rehab Centers | Chiropractor | 5105 B Dixie Hwy, Louisville, KY 40216 | 2013-02-12 |
Find all providers in zip 40216 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023510518 | Ralph M. Green Medical Pllc | Dentist | 3809 Poplar Level Rd Ste B, Louisville, KY 40213-1429 | 2018-03-01 |
1922361062 | Alan Reisman, Dds, PC | Dentist | 1075 S Boulder Rd Ste 135, Louisville, CO 80027-2559 | 2012-06-22 |
1245481175 | Joseph H. Cieslak Dds, Pllc | Dentist | 6501 Dixie Hwy, Louisville, KY 40258-3907 | 2008-10-09 |
1033372057 | Lawrence Sivori II | Dentist | 3101 Breckenridge Ln Ste 2d, Louisville, KY 40220-2742 | 2008-07-09 |
1790944106 | David Naselsker | Dentist | 3421 Hycliffe Ave, Louisville, KY 40207-3659 | 2008-06-02 |
1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
1730382722 | Lewis C. Jones | Dentist | 401 E Chestnut St Unit 550, Louisville, KY 40202-5705 | 2007-06-07 |
1104982016 | Mark D. Miller | Dentist | 1211 W Broadway Unit 106, Louisville, KY 40203-2082 | 2006-12-28 |
1285709865 | David T Dodd | Dentist | 4122 Shelbyville Rd Ste 120, Louisville, KY 40207-3206 | 2006-11-21 |
1306933387 | Alan Jon Reisman | Dentist | 1075 E South Boulder Rd, Suite 230, Louisville, CO 80027-2560 | 2006-10-09 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40216 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.