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DR. JOSEPH H CIESLAK D.D.S.

Dental Providers Dentist

Provider NPI: 1821090226

Provider Information:
DR. JOSEPH H CIESLAK D.D.S.
Gender: M
Sole Proprietor

Practice Location:
5906 BARDSTOWN RD  LOUISVILLE, KY 40291-1935 US
Tel: 502-231-2230  Fax: --

Business Mailing Address:
5906 BARDSTOWN RD  LOUISVILLE, KY 40291-1935 US
Tel: 502-231-2230  Fax: --

NPI Information:
NPI: 1821090226
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N122300000XDental Providers
Dentist
KY7038
Y204E00000XPhysicians
Oral & Maxillofacial Surgery
KY7038
N1223S0112XDental Providers
Dentist
KY7038

Other Provider Identifiers:

IssuerNumberStateType
PASSPORT ID1059670KY01
60070380KY05
64070386KY05



American Medical Association 2012 taxonomy code information

Code: 204E00000X

Type:

Classification:



Definition:



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