Provider Demographics
NPI:1700867512
Name:VARGO, GABOR STEVEN (DMD)
Entity Type:Individual
Prefix:MR
First Name:GABOR
Middle Name:STEVEN
Last Name:VARGO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 BARDSTOWN ROAD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204
Mailing Address - Country:US
Mailing Address - Phone:502-459-2424
Mailing Address - Fax:502-459-5523
Practice Address - Street 1:1250 BARDSTOWN ROAD
Practice Address - Street 2:SUITE 11
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204
Practice Address - Country:US
Practice Address - Phone:502-459-2424
Practice Address - Fax:502-459-5523
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY6292122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist