person
John M Mccrillis
General Practice Dentistry in Louisville, Kentucky
NPI 1184678815

John M Mccrillis is a General Practice Dentistry based in Louisville, KY and is specialized in General Practice. John M Mccrillis practices in Louisville, KY. The NPI Number for John M Mccrillis is 1184678815 and holds a License No. 4612 (Kentucky).

The current practice location address for John M Mccrillis is 3935 Dupont Cir, Louisville, KY and can be reached out via phone at 502-458-7476 and via fax at 502-458-7797.

Location: 3935 Dupont Cir, Louisville, KY, 40207-4824
person
Provider Profile Details
NPI Number
1184678815
Provider Name
John M Mccrillis
Credential
Provider Entity Type
Individual
Gender
Male
Address
3935 Dupont Cir, Louisville, KY, 40207-4824
Phone Number
502-458-7476
Fax Number
502-458-7797
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000068357 01 KY ANTHEM NON-PAR
institution
Provider Business Practice Location Address Details
Address
3935 Dupont Cir
City
State
Zip
40207-4824
Phone Number
502-458-7476
Fax Number
502-458-7797
person
Provider Business Mailing Address Details
Address
3935 Dupont Cir
City
State
Zip
40207-4824
Phone Number
502-458-7476
Fax Number
502-458-7797
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
4612 (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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