IndividualActive
Bruno Azevedo, DDS, MS
NPI 1841697257 · Oral and Maxillofacial Radiology Dentistry · Louisville, KY
Provider details
- NPI number
- 1841697257
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Radiology DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9538 (KY)
Practice location
501 S Preston St Rm 149f
Louisville, KY 40202-1701
Phone: (502) 852-1241
Mailing address
501 S Preston St Rm 149f
Louisville, KY 40202-1701
Registry dates
- Enumerated
- 2014-12-01
- Last updated
- 2014-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.