| Audubon Dental Center Psc | |
|
716 Second Street Henderson KY 42420 | |
| (270) 826-2092 | |
| Not Available |
| Full Name | Audubon Dental Center Psc |
|---|---|
| Speciality | Dentist |
| Location | 716 Second Street, Henderson, Kentucky |
| Authorized Official Name and Position | S Kurtis Wilson (OWNER) |
| Authorized Official Contact | 2708262092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Audubon Dental Center Psc 716 Second Street Henderson KY 42420 Ph: (270) 826-2092 | Audubon Dental Center Psc 716 Second Street Henderson KY 42420 Ph: (270) 826-2092 |
| NPI Number | 1619034915 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619034915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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Audubon Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 2nd St, Henderson, KY 42420 Phone: 270-826-2092 | |
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