Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 2002
Also: ORAL SURGERY
NPI: 1700879095
Practice Locations (2)
KENTUCKIANA ORAL AND MAXILLOFACIAL SURGERY ASSOC PSC
4500 TOWN CTR BLVD, SUITE 102
JEFFERSONVILLE, IN 471307148
8129132283
KENTUCKIANA ORAL AND MAXILLOFACIAL SURGERY ASSOC PSC
2800 CANNONS LN, SUITE 200
LOUISVILLE, KY 402052173
5024544885
Source: CMS National Downloadable File, September 2026.