East Louisville Oral Surgery and Dental Implants PLC
NPI 1972782407ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Louisville, KY
Dentist, Oral and Maxillofacial Surgery in Louisville, Kentucky, registered in NPPES in November 2007. The authorized official on file is Kenneth Wayne Livesay, D.M.D, Oral Surgeon.
Overview
| NPI | 1972782407 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 1, 2007 |
| Last updated in NPPES | Dec 12, 2019 |
| Certified by provider | Dec 12, 2019 |
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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