Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
Graduated: 1993
NPI: 1356369169
Practice Locations (2)
ORAL SURGERY GROUP OF FRANKFORT, PLLC
103 C MICHAEL DAVENPORT BLVD, SUITE 3
FRANKFORT, KY 406014492
5023522510
134 EVERGREEN RD, SUITE 103
LOUISVILLE, KY 402431479
5024101702
Source: CMS National Downloadable File, September 2026.