| Booneville Family Dentistry | |
|
706 North Courthouse Square Booneville KY 41314 | |
| (606) 723-1000 | |
| (606) 723-1039 |
| Full Name | Booneville Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 706 North Courthouse Square, Booneville, Kentucky |
| Authorized Official Name and Position | Jason Wynn Gay (OWNER) |
| Authorized Official Contact | 6067231000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Booneville Family Dentistry Po Box 1167 Booneville KY 41314-1167 Ph: (606) 723-1000 | Booneville Family Dentistry 706 North Courthouse Square Booneville KY 41314 Ph: (606) 723-1000 |
| NPI Number | 1053557660 |
|---|---|
| Provider Enumeration Date | 01/02/2009 |
| Last Update Date | 01/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053557660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7138 (Kentucky) | Primary |