Boley Family Dre Pllc | |
1031 Old Elizabethtown Rd Hodgenville KY 42748-9451 | |
(270) 358-8822 | |
Not Available |
Full Name | Boley Family Dre Pllc |
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Speciality | Dentist |
Location | 1031 Old Elizabethtown Rd, Hodgenville, Kentucky |
Authorized Official Name and Position | Elizabeth Davis (DIRECTOR OF REVENUE) |
Authorized Official Contact | 8595331109 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Boley Family Dre Pllc 105 Spruce St Lexington KY 40507-2109 Ph: () - | Boley Family Dre Pllc 1031 Old Elizabethtown Rd Hodgenville KY 42748-9451 Ph: (270) 358-8822 |
NPI Number | 1841045499 |
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Provider Enumeration Date | 04/18/2024 |
Last Update Date | 04/18/2024 |
Identifier | Type | State | Issuer |
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1841045499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |