National Provider Identifier Database

WHITE LAVENDER
Orofacial Pain

A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.


Contact Information

WHITE LAVENDER
4122 SHELBYVILLE RD STE A
LOUISVILLE, KY40207-3212
Phone: 502-805-3074
Fax: 502-251-0922
Website:
Specialty Taxonomy Code
* Orofacial Pain 1223X2210X

* Indicates primary specialty

NPI Profile & details for WHITE LAVENDER

NPI Number 1285462663
Legal business name
LBN
WHITE LAVENDER
Authorized official MICAH DONLON - (FOUNDER)
Entity Organization
Organization subpart No
Enumeration date 07/25/2024
Last updated 09/25/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for WHITE LAVENDER

There are currently no reviews for WHITE LAVENDER


NPIdb - Home
v2.201