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NPI Code Detail

MEDICARE: DR. D. ED SCHARFENBERGER JR. DMD

MEDICARE:  DR. D. ED SCHARFENBERGER JR. DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry6559KY

General Provider Information

NPI Number : 1063432060
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. D. ED SCHARFENBERGER JR. DMD
Provider Business Mailing Address
First Line : 9706 TAYLORSVILLE RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-2753
Country : US
Telephone Number : 502-267-0546
Fax Number : 502-267-7306
Provider Business Practice Location Address
First Line : 9706 TAYLORSVILLE RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-2753
Country : US
Telephone Number : 502-267-0546
Fax Number : 502-267-7306
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. D. ED SCHARFENBERGER JR. DMD” Practice Location

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