Greater Louisville Oral and Maxillofacial Surgery Associates, PSC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

GREATER LOUISVILLE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, PSC

Practice address

3101 Breckenridge LN
Ste 2D
Louisville, KY 40220-2742

Phone

(502) 459-8012

Fax

(502) 459-8021

NPI assigned

Aug 4, 2005

Last updated

Jul 21, 2022By 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

Debbie J Troklus

Title

Practice Manager

Phone

(502) 459-9973

Specialties & licenses 1

Addresses

Other names 1

• Marks, Epstein & Pape Other name

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William M Epstein, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
  • NPI 1336140862
  NPD (past)
• Julie M Harris, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
  • NPI 1154322683
  NPD (past)
• Theodore E Logan Jr., DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
  • NPI 1245231778
  NPD (past)
• Barry A Spoonamore, M.D.

  • Surgery Physician
  • Danville, KY
  • NPI 1952301210
  NPD (past)

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649271263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 BRECKENRIDGE LN",
            "address_2": "STE 2D",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202742",
            "telephone_number": "502-459-8012",
            "fax_number": "502-459-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BRECKENRIDGE LN",
            "address_2": "STE 2D",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202742",
            "telephone_number": "502-459-8012",
            "fax_number": "502-459-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LOUISVILLE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TROKLUS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "502-459-9973"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marks, Epstein & Pape",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Greater Kentuckiana Chiropractic and Injury Rehab
• Greater Louisville Anesthesia Services--Downtown
• Greater Louisville Counseling Center
• Greater Louisville Counseling Center
• Greater Louisville Counseling Center
• James Patrick Grebe
• Emily Fister Greco, MA
• Lauren Rae Greco
• Nikki Greco, MD CANDIDATE
• Green & Jones Oral and Maxillofacial Surgery PLLC

• 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 Jul 21, 2022; 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.