National Provider Identifier Database

GERALD D VERDI DDS MD PLLC
Plastic and Reconstructive Surgery


Contact Information

GERALD D VERDI DDS MD PLLC
4121 DUTCHMANS LN
STE 311
LOUISVILLE, KY40207-4707
Phone: 502-895-5555
Fax: 502-895-5550
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for GERALD D VERDI DDS MD PLLC

NPI Number 1275519704
Legal business name
LBN
GERALD D VERDI DDS MD PLLC
Authorized official GERALD VERDI - (OWNER / PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 12/16/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 16645
  • KY Other: 000000218137 ANTHEM FACETS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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