Bardstown On Call Dental | |
621 N 3rd St Bardstown KY 40004-1750 | |
(502) 349-3289 | |
(502) 348-7260 |
Full Name | Bardstown On Call Dental |
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Speciality | Dentist - General Practice |
Location | 621 N 3rd St, Bardstown, Kentucky |
Authorized Official Name and Position | Jay Ryan Claywell (DENTIST) |
Authorized Official Contact | 5023493289 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bardstown On Call Dental 621 N 3rd St Bardstown KY 40004-1750 Ph: (502) 349-3289 | Bardstown On Call Dental 621 N 3rd St Bardstown KY 40004-1750 Ph: (502) 349-3289 |
NPI Number | 1013443894 |
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Provider Enumeration Date | 05/11/2017 |
Last Update Date | 05/11/2017 |
Identifier | Type | State | Issuer |
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1013443894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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