Provider Demographics
NPI:1598789786
Name:SCARFE, WILLIAM CHARLES (BDS, FRACDS, MS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHARLES
Last Name:SCARFE
Suffix:
Gender:M
Credentials:BDS, FRACDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIV OF LOUISVILLE SCHOOL OF DENTISTRY
Mailing Address - Street 2:501 S. PRESTON STREET
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40292-0001
Mailing Address - Country:US
Mailing Address - Phone:502-852-1226
Mailing Address - Fax:502-852-7595
Practice Address - Street 1:UNIV OF LOUISVILLE SCHOOL OF DENTISTRY
Practice Address - Street 2:501 S. PRESTON STREET
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40292-0001
Practice Address - Country:US
Practice Address - Phone:502-852-1226
Practice Address - Fax:502-852-7595
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY67721223X0008X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64111073Medicaid
KY611014882 TOtherHUMANA
KY60002649Medicaid
KY000000342948OtherANTHEM / BCBS
KY50005075OtherPASSPORT HEALTH PLAN
KY60002649Medicaid