person
Dr. Stacy Brian Ellison, DMD
General Practice Dentistry in Louisville, Kentucky
NPI 1093843484

Stacy Brian Ellison is a General Practice Dentistry based in Louisville, KY and is specialized in General Practice. Stacy Brian Ellison practices in Louisville, KY and has the professional credentials of DMD. The NPI Number for Stacy Brian Ellison is 1093843484 and holds a License No. 5989 (Kentucky).

The current practice location address for Stacy Brian Ellison is 2831 S Hurstbourne Pkwy, Louisville, KY and can be reached out via phone at 502-491-0330 and via fax at 502-491-7431.

Location: 2831 S Hurstbourne Pkwy, Louisville, KY, 40220-4112
person
Provider Profile Details
NPI Number
1093843484
Provider Name
Stacy Brian Ellison
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2831 S Hurstbourne Pkwy, Louisville, KY, 40220-4112
Phone Number
502-491-0330
Fax Number
502-491-7431
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2831 S Hurstbourne Pkwy
City
State
Zip
40220-4112
Phone Number
502-491-0330
Fax Number
502-491-7431
person
Provider Business Mailing Address Details
Address
2831 S Hurstbourne Pkwy
City
State
Zip
40220-4112
Phone Number
502-491-0330
Fax Number
502-491-7431
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
5989 (Kentucky)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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