Anthony W Durall Dmd Psc | |
2816 Veach Rd Suite 301 Owensboro KY 42303 | |
(270) 683-0275 | |
(270) 683-5929 |
Full Name | Anthony W Durall Dmd Psc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 2816 Veach Rd, Owensboro, Kentucky |
Authorized Official Name and Position | Anthony W Durall (PRESIDENT) |
Authorized Official Contact | 2706830275 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Anthony W Durall Dmd Psc 2816 Veach Rd Suite 301 Owensboro KY 42303 Ph: (270) 683-0275 | Anthony W Durall Dmd Psc 2816 Veach Rd Suite 301 Owensboro KY 42303 Ph: (270) 683-0275 |
NPI Number | 1831252162 |
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Provider Enumeration Date | 12/18/2006 |
Last Update Date | 08/13/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831252162 | NPI | - | NPPES |
60048634 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4863 (Kentucky) | Primary |
Greater Owensboro Pediatric Dentistry, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3817 Fairview Dr, Owensboro, KY 42303 Phone: 270-683-7114 | |
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Joshua K Stamper Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Frederica St Ste 301, Owensboro, KY 42301 Phone: 270-926-7272 | |
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