Fred Look, P.S.C., D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3880 Issued in KY

Legal business name

FRED LOOK, P.S.C., D.M.D.

Practice address

5141 Dixie Hwy
Suite 104
Louisville, KY 40216-1765

Phone

(502) 448-7988

Fax

(502) 447-9326

NPI assigned

Oct 19, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fred Look, DMDNPI 1396733200

Title

President

Phone

(502) 448-7988

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fred Look, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
  • NPI 1396733200
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306835632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 DIXIE HWY",
            "address_2": "SUITE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161765",
            "telephone_number": "502-448-7988",
            "fax_number": "502-447-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 DIXIE HWY",
            "address_2": "SUITE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161765",
            "telephone_number": "502-448-7988",
            "fax_number": "502-447-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED LOOK, P.S.C., D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOOK",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-448-7988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "3880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Frazier
• Kelly L Frazier
• Melissa Frazier
• Miranda Frazier, RBT
• Alexis Paige Frazine
• Timothy Freda, PHARMD
• Amanda Joleen Frederick, SLP
• Carmen Sue Frederick
• Carrie Anna Frederick, APRN
• Emily Kirchner Frederick, PHARM.D.

• Oral and Maxillofacial Surgery (Dentist) in Louisville, KY
• Providers in Louisville, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.