Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
Graduated: 2007
NPI: 1760521850
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
138 EASTBROOKE CT, SUITE 100
MT WASHINGTON, KY 400475567
5029571250
Source: CMS National Downloadable File, September 2026.