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Search › Kentucky › General Practice Dentistry

Stacy Ellison, D.M.D

NPI 1093843484 · on the registry since 2007 · sole proprietor

Practice

Address
2831 S Hurstbourne Pkwy
Louisville, KY 40220
Phone
(502) 491-0330
Fax
(502) 491-7431
Organisation at this address
Kps Suites, Llc
Kps Suites, Llc
Dennis A Sparks Md Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky