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Electronic Submission Consent

I acknowledge that the information I am submitting may include protected health information ("PHI") as defined under the Health Insurance Portability and Accountability Act ("HIPAA"). I understand that this information will be transmitted electronically to the healthcare practice I have selected. By checking this box, I consent to the electronic submission and transmission of my information for the purpose of requesting an appointment or related services. Further, you represent that you have the authority to make this acknowledgement, either as the individual for whom this form is intended or as the personal representative of such user. I understand that while this form uses encryption to protect my information during transmission, no electronic communication can be guaranteed to be fully secure. For more information about Louisville Endodontics's privacy policy, please see our privacy policy.
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Address

Louisville Endodontics
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7980 New Lagrange Road Suite #2

Louisville, KY 40222

Phone

phone
502-842-4952

Fax

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502-412-2827

Hours

Mon:

8:00 AM

 - 

4:30 PM

Tue:

8:00 AM

 - 

4:30 PM

Wed:

8:00 AM

 - 

4:30 PM

Thu:

8:00 AM

 - 

4:30 PM

Louisville Endodontics Reviews

Great, professional, friendly!

T.O. Google

Dr Cook assessed my problem, helped me make a decision about my care, and did it all with kindness. He made me feel at ease.

C.P. Google

Wouldn't go to anyone else, Dr. Cook and his staff are great, true over a year ago, still true.

J.R. Google

Best dental experience I’ve ever had! Exceptional work!

J. Google

Great experience. Team was all very friendly and attentive. Dr.Cook was very conscientious about making sure it was a comfortable and low stress experience. Great result.

J.H. Google

584

Total Reviews

5

Average Rating

star-full star-full star-full star-full star-full
All Reviews