| Bardstown On Call Dental | |
|
621 N 3rd St Bardstown KY 40004-1750 | |
| (502) 349-3289 | |
| (502) 348-7260 |
| Full Name | Bardstown On Call Dental |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013443894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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