East Louisville Oral Surgery And Dental Implants Plc is a Oral and Maxillofacial Dental Clinic in Louisville, Kentucky. It is located at 300 Middletown Park Pl Ste A, Louisville, KY and its contact number is 502-254-3818. The authorized person for East Louisville Oral Surgery And Dental Implants Plc is Dr. Kenneth Wayne Livesay Jr.
who is Oral Surgeon of the clinic and their contact number is 502-254-3818. East Louisville Oral Surgery And Dental Implants Plc Clinic deals with 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.
Complete Clinic Profile:
East Louisville Oral Surgery And Dental Implants Plc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
East Louisville Oral Surgery And Dental Implants Plc
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
300 Middletown Park Pl Ste A, Louisville, Kentucky, 40243-2541
Phone:
502-254-3818
Fax:
502-254-3819
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Kenneth Wayne Livesay Jr.
Position:
Oral Surgeon
Contact Number:
502-254-3818
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for East Louisville Oral Surgery And Dental Implants Plc clinic are as mentioned below.
NPI Number:
1972782407
NPI Enumeration Date:
01 Nov, 2007
NPI Last Update On:
12 Dec, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for East Louisville Oral Surgery And Dental Implants Plc are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
Primary
Oral & Maxillofacial Surgery
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7100122880
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
East Louisville Oral Surgery And Dental Implants Plc 1013 N Dupont Sq Ste B, Louisville, Kentucky
Zip:
40207-4612
Phone Number:
502-897-5282
Fax Number:
502-896-6714
Patients can reach East Louisville Oral Surgery And Dental Implants Plc at 300 Middletown Park Pl Ste A, Louisville, Kentucky or can call to book an appointment on 502-254-3818. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.