1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Dentist
  6. NPI Profile

WHITE LAVENDER
NPI 1285462663
Dentist - Orofacial Pain in Louisville, KY

Active since July 25, 2024
4122 SHELBYVILLE RD STE A, LOUISVILLE, KY 40207(502) 805-3074(502) 251-0922 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 23, 2024, Jul 25, 2024 (2 updates tracked since 2024).

About White Lavender NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE LAVENDER (NPI 1285462663) is a healthcare organization registered as an orofacial pain in Louisville, Kentucky and active in the NPI registry since July 2024. The organization lists Micah Donlon, Founder, as its authorized official.

NPPES Registry Identity

NPI1285462663
Entity TypeOrganization
Primary Taxonomy1223X2210X
Legal Business NameWHITE LAVENDER
Location Address4122 SHELBYVILLE RD STE ALouisville, KY 40207-3212
Mailing Address4122 Shelbyville Rd Ste ALouisville, KY 40207-3212 · (502) 805-3074 · Fax (502) 251-0922
Phone(502) 805-3074
Fax(502) 251-0922
Organization SubpartNo
Authorized OfficialMicah DonlonFounder · (502) 805-3074
Enumeration DateJuly 25, 2024
Last NPPES UpdateSeptember 25, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1285462663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
Definition

A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.

4122 SHELBYVILLE RD STE A, Louisville, KY 40207
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is White Lavender's NPI number?

The NPI number for White Lavender is 1285462663. It was assigned to this organization in the NPPES registry on July 25, 2024.

Where is White Lavender located?

White Lavender is located at 4122 Shelbyville Rd Ste A, Louisville, KY 40207. The listed phone number is (502) 805-3074.

What is White Lavender's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

When was this NPI record last updated?

The NPPES record for White Lavender was last updated on September 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.