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

EAST LOUISVILLE ORAL SURGERY AND DENTAL IMPLANTS PLC
NPI 1972782407
Dentist - Oral and Maxillofacial Surgery in Louisville, KY

Active since November 01, 2007
300 MIDDLETOWN PARK PL STE A, LOUISVILLE, KY 40243(502) 254-3818(502) 254-3819 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2019, Oct 7, 2019, Oct 4, 2019 (3 updates tracked since 2019).

About East Louisville Oral Surgery And Dental Implants Plc NPPES

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

EAST LOUISVILLE ORAL SURGERY AND DENTAL IMPLANTS PLC (NPI 1972782407) is a healthcare organization registered as an oral and maxillofacial surgery in Louisville, Kentucky and active in the NPI registry since November 2007. The organization maintains 2 additional practice locations and lists Kenneth Wayne Livesay, Oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1972782407
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameEAST LOUISVILLE ORAL SURGERY AND DENTAL IMPLANTS PLC
Location Address300 MIDDLETOWN PARK PL STE ALouisville, KY 40243-2541
Mailing Address1013 N Dupont Sq Ste BLouisville, KY 40207-4612 · (502) 897-5282 · Fax (502) 896-6714
Phone(502) 254-3818
Fax(502) 254-3819
Organization SubpartNo
Authorized OfficialKenneth Wayne LivesayOral Surgeon · (502) 254-3818
Enumeration DateNovember 1, 2007
Last NPPES UpdateDecember 12, 20193 updates tracked since enumeration
✔ NPI 1972782407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition

An oral and maxillofacial surgery dentist specialized in 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.

Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X
300 MIDDLETOWN PARK PL STE A, Louisville, KY 40243
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14181 New Shepherdsville RdBardstown, KY 40004-9021 · Phone (502) 305-3649 · Fax (502) 373-6562
Location 21013 N DuPont Sq Ste BLouisville, KY 40207-4612 · Phone (502) 897-5282 · Fax (502) 896-6714

Other Identifiers 1

Medicaid7100122880KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARTIN A SEGAL DMD
Dentist (General Practice)
300 MIDDLETOWN PARK PL STE A
LOUISVILLE, KY 40243
Jefferson County (502) 245-8666

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 East Louisville Oral Surgery And Dental Implants Plc's NPI number?

The NPI number for East Louisville Oral Surgery And Dental Implants Plc is 1972782407. It was assigned to this organization in the NPPES registry on November 1, 2007.

Where is East Louisville Oral Surgery And Dental Implants Plc located?

East Louisville Oral Surgery And Dental Implants Plc is located at 300 Middletown Park Pl Ste A, Louisville, KY 40243. The listed phone number is (502) 254-3818.

What is East Louisville Oral Surgery And Dental Implants Plc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for East Louisville Oral Surgery And Dental Implants Plc was last updated on December 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.