OrganizationActive
White Lavender
NPI 1285462663 · Orofacial Pain Dentistry · Louisville, KY
Provider details
- NPI number
- 1285462663
- Entity type
- Organization
- Primary specialty
- Orofacial Pain DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Micah Donlon, Founder(502) 805-3074
Specialties & taxonomies
Dental Providers
Practice location
4122 Shelbyville Rd Ste a
Louisville, KY 40207-3212
Phone: (502) 805-3074
Fax: (502) 251-0922
Approximate (ZIP-level) locationGet directions
Mailing address
4122 Shelbyville Rd Ste a
Louisville, KY 40207-3212
Registry dates
- Enumerated
- 2024-07-25
- Last updated
- 2025-09-25
- Certified
- 2025-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.