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60 Center Street Beattyville KY 41311 | |
| (606) 464-2447 | |
| (606) 464-0097 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 60 Center Street, Beattyville, Kentucky |
| Authorized Official Name and Position | Robert S. Adkins (OWNER) |
| Authorized Official Contact | 6064642447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
P.o. Box 288 Beattyville KY 41311 Ph: (606) 464-2447 | 60 Center Street Beattyville KY 41311 Ph: (606) 464-2447 |
| NPI Number | 1659411825 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 06/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659411825 | NPI | - | NPPES |
| 7100099590 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |