Provider Demographics
NPI:1922099712
Name:HOURIGAN, DENISE MICHELLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:MICHELLE
Last Name:HOURIGAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4122 SHELBYVILLE RD
Mailing Address - Street 2:STE F
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-3242
Mailing Address - Country:US
Mailing Address - Phone:502-895-8008
Mailing Address - Fax:502-895-8707
Practice Address - Street 1:4122 SHELBYVILLE RD
Practice Address - Street 2:STE F
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-3242
Practice Address - Country:US
Practice Address - Phone:502-895-8008
Practice Address - Fax:502-895-8707
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY7058122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist