OrganizationActive
East Louisville Oral Surgery and Dental Implants PLC
NPI 1972782407 · Oral and Maxillofacial Surgery (Dentist) · Louisville, KY
Provider details
- NPI number
- 1972782407
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Kenneth Livesay, Oral Surgeon(502) 254-3818
Specialties & taxonomies
Dental Providers
- Oral & Maxillofacial Surgery (D.M.D.)204E00000X
Allopathic & Osteopathic Physicians
Practice location
300 Middletown Park Pl Ste a
Louisville, KY 40243-2541
Phone: (502) 254-3818
Fax: (502) 254-3819
Approximate (ZIP-level) locationGet directions
Mailing address
1013 N Dupont Sq Ste B
Louisville, KY 40207-4612
Additional practice locations (2)
- 4181 New Shepherdsville RdBardstown, KY 40004-9021Phone: (502) 305-3649Fax: (502) 373-6562
- 1013 N Dupont Sq Ste BLouisville, KY 40207-4612Phone: (502) 897-5282Fax: (502) 896-6714
Registry dates
- Enumerated
- 2007-11-01
- Last updated
- 2019-12-12
- Certified
- 2019-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.