Rougeux, David A

Rougeux, David A is an sole proprietor health care provider with primary practice located at 3934 Dixie Hwy Suite 430, Louisville KY 40216-4163. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Pediatric Dentistry is his primary health care specialty. Rougeux, David A can be contacted via phone (502) 449-1723.

Contact Information

Primary practice address
3934 Dixie Hwy Suite 430 Louisville KY 40216-4163
Phone: (502) 449-1723
Fax: (502) 448-7488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 6253 Kentucky
Dental Providers / Dentist 122300000X 6253 Kentucky

Profile Details

NPI number 1316935570
LBN Legal business name Rougeux, David A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Nov 5th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316935570 NPPES
Kentucky MEDICAID 4581

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