S.E. Louisville Oral Surgery, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

S.E. LOUISVILLE ORAL SURGERY, P.C.

Practice address

3841 Ruckriegel Pkwy Ste 104
Louisville, KY 40299-3986

Phone

(502) 969-2523

NPI assigned

Feb 15, 2022

Last updated

Jun 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Swope, MD,DMD

Title

Owner

Phone

(402) 968-9645

Specialties & licenses 1

Addresses

Other names 1

• South Louisville Oral Surgery Other name

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1376298695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8516 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402195302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 RUCKRIEGEL PKWY STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993986",
            "telephone_number": "502-969-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.E. LOUISVILLE ORAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "SWOPE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-968-9645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Louisville Oral Surgery",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "South Louisville Oral Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 Jun 5, 2025; 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.