METRO LOUISVILLE ENDODONTICS,LLC (NPI# 1720290026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720290026 |
| Entity Type | Organization |
| Organization Name | METRO LOUISVILLE ENDODONTICS,LLC |
| Practice Address |
3036 Breckenridge Ln Ste 103 Louisville KY 40220-2196 |
| Practice Telephone | 5024951822 |
| Practice Fax Number | 5024951825 |
| Mailing Telephone | 5024951822 |
| Mailing Fax Number | 5024951825 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EARL D WALKER (ENDODONTIST) |
| Authorized Official Telephone | 5024951822 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
6102 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | DENTAL LICENSE NUMBER | 6102 | 01 |
| Street Address |
3036 BRECKENRIDGE LN STE 103 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40220-2196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502560 | Louis James Walker IIi | Physical Therapist | 8904 Elks Bluff Drive, Unit 02206, Apt 206, Louisville, KY 40220 | 2020-09-10 |
| 1396207148 | Kristan Shay Swindler | Specialist/Technologist, Other | 3008 Furman Blvd., Louisville, KY 40220 | 2019-04-02 |
| 1033686191 | Reine Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3405 Breckenridge Lane, Louisville, KY 40220 | 2018-10-26 |
| 1053828145 | Angelique Marie Leist | Registered Nurse | 3103 Breckenridge Ln Ste 1, Louisville, KY 40220 | 2018-01-10 |
| 1811413925 | Virginia Zimlich | Physical Therapist | 2807 Alice Ave, Louisville, KY 40220 | 2017-08-21 |
| 1255860649 | Susan Marie Elder | Registered Nurse | 2816 Esther Blvd, Louisville, KY 40220 | 2017-06-08 |
| 1215300611 | Katie Kipfer | Day Training/Habilitation Specialist | 3902 Graf Drive, Louisville, KY 40220 | 2015-11-06 |
| 1639547987 | Meghan Hillerich | Home Health | 13 Canterbury Drive, Louisville, KY 40220 | 2015-09-03 |
| 1376921098 | Dental Services of Kentucky, Psc | Dentist | 3946 Taylorsville Rd., Louisville, KY 40220 | 2015-05-14 |
| 1093103574 | Joann Bartolone Murphy | Developmental Therapist | 3717 Taylorsville Rd., Louisville, KY 40220 | 2015-01-06 |
| Find all providers in zip 40220 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881146595 | Scott Endodontics, Plc | Dentist | 300 Middletown Park Pl, Suite B, Louisville, KY 40243-2513 | 2016-10-28 |
| 1356613277 | Louisville Endodontics | Dentist | 7980 New Lagrange Road, Suite 2, Louisville, KY 40222 | 2012-02-08 |
| 1053683342 | Springhurst Endodontics Psc | Dentist | 3801 Springhurst Blvd Ste 108, Louisville, KY 40241-6137 | 2012-02-01 |
| 1215246012 | Anthony C Leung | Dentist | 1605 Wood Thrush Trce, Louisville, KY 40245-6501 | 2010-09-28 |
| 1568653848 | Kool Smiles, Psc | Dentist | 1211 W Broadway, Louisville, KY 40203-2007 | 2007-08-05 |
| 1720101140 | John Lewis Creech IIi | Dentist | 7980 New Lagrange Rd, Unit #2, Louisville, KY 40222-4767 | 2007-04-09 |
| 1386766327 | Paul L Abbott | Dentist | 9710 Park Plaza Ave Unit 109, Louisville, KY 40241-2292 | 2007-04-03 |
| 1568592996 | Richard Clay Gilbert | Dentist | 11509 Shelbyville Rd, Louisville, KY 40243-1372 | 2007-03-06 |
| 1003952516 | Brian Frutchey | Dentist | 850 W South Boulder Rd Unit 201, Louisville, CO 80027-2417 | 2007-01-30 |
| 1932263035 | Michael Childers | Dentist | 644 Phillips Ln, Suite 1002, Louisville, KY 40209-1312 | 2006-12-21 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40220 |
Please comment or provide details below to improve the information on METRO LOUISVILLE ENDODONTICS,LLC.
| 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.