East Louisville Oral Surgery and Dental Implants PLC
NPI 1275292377ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Louisville, KY
Dentist, Oral and Maxillofacial Surgery in Louisville, Kentucky, registered in NPPES in December 2021. The authorized official on file is Kenneth W. Livesay, DMD, Member.
Overview
| NPI | 1275292377 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2021 |
| Last updated in NPPES | Aug 14, 2023 |
| Certified by provider | Jul 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
| Oral & Maxillofacial Surgery | 204E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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