Bohle Family Dentistry, Psc | |
1836 Broadway St Paducah KY 42001-2708 | |
(270) 442-0256 | |
(270) 442-8730 |
Full Name | Bohle Family Dentistry, Psc |
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Speciality | Clinic/center - Dental |
Location | 1836 Broadway St, Paducah, Kentucky |
Authorized Official Name and Position | Charles J Bohle (PRESIDENT) |
Authorized Official Contact | 2704420256 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bohle Family Dentistry, Psc 1836 Broadway St Paducah KY 42001-2708 Ph: (270) 442-0256 | Bohle Family Dentistry, Psc 1836 Broadway St Paducah KY 42001-2708 Ph: (270) 442-0256 |
NPI Number | 1003135534 |
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Provider Enumeration Date | 05/24/2010 |
Last Update Date | 05/24/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003135534 | NPI | - | NPPES |
60056371 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Dr Daniel Boeh Dmd Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Fountain Ave, Suite #314, Paducah, KY 42001 Phone: 270-444-6032 Fax: 270-444-7843 | |
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