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NPI 1104090091

OrganizationActive

Engilman Orthodontics - Lagrange

NPI 1104090091 · Dental Clinic/Center · La Grange, KY

Provider details

NPI number: 1104090091
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Stephen James, Cfo

Practice location

2005 S Highway 53

Suite B

La Grange, KY 40031-9109

Phone: (502) 222-4613

Fax: (502) 225-0882

More KY providers

Mailing address

Po Box 437169

Louisville, KY 40253-7169

Registry dates

Enumerated: 2008-04-22
Last updated: 2014-06-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Engilman Orthodontics - Lagrange — NPI 1104090091, La Grange, KY | NPI Central